Healthcare Provider Details

I. General information

NPI: 1831369289
Provider Name (Legal Business Name): NADIM M NASR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2008
Last Update Date: 03/09/2021
Certification Date: 03/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 N GEORGE MASON DRIVE ARLINGTON RADIATION ONCOLOGY
ARLINGTON VA
22205
US

IV. Provider business mailing address

PO BOX 79186
BALTIMORE MD
21279-3610
US

V. Phone/Fax

Practice location:
  • Phone: 703-558-5000
  • Fax: 703-558-5512
Mailing address:
  • Phone: 888-846-5527
  • Fax: 607-324-7615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number2008-00788
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberMD036388
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number0101243355
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: