Healthcare Provider Details

I. General information

NPI: 1023299849
Provider Name (Legal Business Name): DR. USMAN NAZIR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2007
Last Update Date: 08/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6040 DELP MS 1020
KANSAS CITY KS
66160-0001
US

IV. Provider business mailing address

6040 DELP MS 1020
KANSAS CITY KS
66160-0001
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-6005
  • Fax: 913-588-3877
Mailing address:
  • Phone: 913-588-6005
  • Fax: 913-588-3877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: