Healthcare Provider Details

I. General information

NPI: 1053379149
Provider Name (Legal Business Name): ADNAN NASEER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 10/02/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6019 WALNUT GROVE RD
MEMPHIS TN
38120-2113
US

IV. Provider business mailing address

PO BOX 38646
GERMANTOWN TN
38183-0646
US

V. Phone/Fax

Practice location:
  • Phone: 901-264-9090
  • Fax:
Mailing address:
  • Phone: 901-652-9699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number38346
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: