Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | P28825 | MD |
N | 111NI0900X | Internist | P28825 | MD |
Y | 207RC0000X | Internist - Cardiovascular Disease | 61856 | TN |
NPI | 1013358167 |
---|---|
Provider Name | Dr. Nafees Ameer Mohammed |
First Address | Johnson City, TN 37604-2579 |
Second Address | Bristol, TN 37620-7455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2013 |
Last Update Date | 03/02/2021 |