Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 035711 | MD |
NPI | 1053386011 |
---|---|
Provider Name | Dr. Mokhtar N Nasir |
First Address | Westminster, MD 21157-5779 |
Second Address | Westminster, MD 21157-5779 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 19/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
549541500 | (05) | MD |
E32833 | (02) |