Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 35-07-0473N | OH |
Y | 207RI0011X | Interventional Cardiology | 35070473 | OH |
NPI | 1003871963 |
---|---|
Provider Name | Raja A. Nazir |
First Address | Dayton, OH 45429-6401 |
Second Address | Wilmington, OH 45177-2171 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 07/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2321080 | (05) | OH |
G26065 | (02) | OH |