Healthcare Provider Details

I. General information

NPI: 1144425943
Provider Name (Legal Business Name): MOKHTAR NASIR MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 WASHINGTON ROAD SUITE 100
WESTMINSTER MD
21157-5779
US

IV. Provider business mailing address

826 WASHINGTON RD SUITE 100
WESTMINSTER MD
21157-5779
US

V. Phone/Fax

Practice location:
  • Phone: 410-840-0420
  • Fax:
Mailing address:
  • Phone: 410-840-0420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MOKHTAR NAJEEB NASIR
Title or Position: OWNER
Credential: MD
Phone: 410-840-0420