MEDICARE: ALI H NAZIR

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	343900000X	Non-emergency Medical Transport (VAN)	206993	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	831152241	OTHER		NON EMERGENCY MEDICAL TRANSPORTATION
2	831152241	OTHER	TN	NON EMERGENCY MEDICAL TRANSPORTATION BUSINESS TAX LICENSE

General Provider Information

NPI Number	:	1770197949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALI H NAZIR

Provider Business Mailing Address
First Line	:	710 HUNTINGTON PKWY
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-5919
Country	:	US
Telephone Number	:	615-638-3810
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 HUNTINGTON PKWY
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-5919
Country	:	US
Telephone Number	:	615-638-3810
Fax Number	:

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

Provider Enumeration Date	:	09/03/2020
Last Update Date	:	09/03/2020

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Directions to “ ALI H NAZIR ” Practice Location

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