Individual
SUHAIL NASIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 GRESHAM DRIVE,, DEPT OF PATHOLOGY, NORFOLK, VA 23507
(757) 388-3488
(757) 388-3799
Mailing address
PO BOX 20452, PSMG-CRED, COLUMBUS, OH 43220-0452
(614) 442-2406
(614) 442-2410
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
0101056075
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101056075
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740248889
—
VA
05
—
790569T
—
NC
Enumeration date
05/01/2006
Last updated
04/03/2014
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