MEDICARE: ADEEL NASIR M.D.

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
1	2084P0800X	Psychiatry Physician	D0080785	MD

General Provider Information

NPI Number	:	1699061762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADEEL NASIR M.D.

Provider Business Mailing Address
First Line	:	1208 E CHURCHVILLE RD STE 200
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21014-3484
Country	:	US
Telephone Number	:	410-417-6315
Fax Number	:	443-332-2105

Provider Business Practice Location Address
First Line	:	1208 E CHURCHVILLE RD STE 200
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21014-3484
Country	:	US
Telephone Number	:	410-417-6315
Fax Number	:	443-332-2105

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2011
Last Update Date	:	09/26/2023

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