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NPI Code Detail

MEDICARE: KHURRAM NAZEER MD

MEDICARE: KHURRAM NAZEER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician38902KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043291081
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHURRAM NAZEER MD
Provider Business Mailing Address
First Line : 234 E GRAY ST
Second Line : SUITE 858
City : LOUISVILLE
State : KY
Zip : 40202-1900
Country : US
Telephone Number : 502-583-1799
Fax Number : 502-583-1792
Provider Business Practice Location Address
First Line : 234 EAST GRAY
Second Line : SUITE 858
City : LOUISVILLE
State : KY
Zip : 40202-1715
Country : US
Telephone Number : 502-583-1799
Fax Number : 502-583-1792
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 10/13/2011

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Directions to “ KHURRAM NAZEER MD” Practice Location

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