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Organization

IQBAL NASIR, MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IQBAL NASIR (OWNER)
(248) 901-1111
Entity
Organization

Contact information

Practice address
18161 W 13 MILE RD, SUITE D4, SOUTHFIELD, MI 48076-1113
(248) 901-1111
(248) 901-4444
Mailing address
18161 W 13 MILE RD, SUITE D4, SOUTHFIELD, MI 48076-1113
(248) 901-1111
(248) 901-4444

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
IN039377
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1639261696
MI
01
1706324172
BCBS
MI
01
170F377800
BCBS
MI
01
1922278746
GROUP NPI
MI
Enumeration date
03/07/2008
Last updated
10/07/2015
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