Healthcare Provider Details

I. General information

NPI: 1407245848
Provider Name (Legal Business Name): NAZMUL KABIR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2015
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10224 DURANT RD STE 209
RALEIGH NC
27614-6468
US

IV. Provider business mailing address

10224 DURANT RD STE 209
RALEIGH NC
27614-6468
US

V. Phone/Fax

Practice location:
  • Phone: 919-443-6094
  • Fax:
Mailing address:
  • Phone: 919-443-6094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberE-10543
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number48336
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number74285
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number2020-03143
License Number StateNC
# 5
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number34007
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: