Healthcare Provider Details

I. General information

NPI: 1407237209
Provider Name (Legal Business Name): NADIR KHARMA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: NADIR SAIF EL-DIN KHARMA MD

II. Dates (important events)

Enumeration Date: 06/17/2015
Last Update Date: 07/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 BELLINGER ST
EAU CLAIRE WI
54703-5222
US

IV. Provider business mailing address

1400 BELLINGER ST
EAU CLAIRE WI
54703-5222
US

V. Phone/Fax

Practice location:
  • Phone: 715-838-5222
  • Fax:
Mailing address:
  • Phone: 715-838-5222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number59167
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number65885-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: