Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A135842 | CA |
N | 111NI0900X | Internist | A135842 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | A135842 | CA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | A135842 | CA |
NPI | 1295942381 |
---|---|
Provider Name | Dr. Javed Nasir |
First Address | Rancho Cordova, CA 95670-7956 |
Second Address | Redding, CA 96001-0223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 29/09/2020 |