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NPI Code Detail

MEDICARE: ARIF NAZIR MD

MEDICARE: ARIF NAZIR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0300XGeriatric Medicine (Internal Medicine) Physician49556KY
2207R00000XInternal Medicine Physician49556KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174516751
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIF NAZIR MD
Provider Business Mailing Address
First Line : 12201 BLUEGRASS PKWY
Second Line : STE 130 - PROVIDER ENROLLMENT
City : LOUISVILLE
State : KY
Zip : 40299-2361
Country : US
Telephone Number : 502-568-7364
Fax Number : 502-568-7136
Provider Business Practice Location Address
First Line : 1120 CRISTLAND RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40214-4150
Country : US
Telephone Number : 502-367-0140
Fax Number : 502-368-5208
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2005
Last Update Date : 11/02/2016

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