MEDICARE: INFECTIOUS DISEASE SPECIALISTS PC

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	207RI0200X	Infectious Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4997285	OTHER	SD	BCBS - GROUP
2	55G65AS	OTHER	MN	BCBS - GROUP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770538084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFECTIOUS DISEASE SPECIALISTS PC

Provider Business Mailing Address
First Line	:	210 N BROADWAY AVE
Second Line	:
City	:	MILLER
State	:	SD
Zip	:	57362-1414
Country	:	US
Telephone Number	:	605-853-2786
Fax Number	:	605-853-2653

Provider Business Practice Location Address
First Line	:	6709 S MINNESOTA AVE
Second Line	:	SUITE 102
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-2592
Country	:	US
Telephone Number	:	605-322-7250
Fax Number	:	605-322-7251

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	JAWAD NAZIR
Credential	:	MD
Telephone Number	:	605-322-7250

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	12/12/2012

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1952729618 — NICHOLE QUIST
Practice Location Address:

6709 S MINNESOTA AVE , 203
SIOUX FALLS, SD
57108-2592

Practice Phone: 605-274-2525
Practice Fax: 605-274-0620

1144425323 — FARES YOUSEF MASANNAT MD
Practice Location Address:

6709 S MINNESOTA AVE , SUITE 102
SIOUX FALLS, SD
57108-2592

Practice Phone: 605-335-1952
Practice Fax: 605-373-9971

1093909756 — BRIAN SABADO PEPITO M.D.
Practice Location Address:

6709 S MINNESOTA AVE , SUITE 102
SIOUX FALLS, SD
57108-2592

Practice Phone: 605-322-7250
Practice Fax: 605-331-6401

1750633004 — DAKOTA ENT AND SINUS CLINIC, P.C.
Practice Location Address:

6709 S MINNESOTA AVE , SUITE 206
SIOUX FALLS, SD
57108-2592

Practice Phone: 605-575-1000
Practice Fax: 605-575-1004

1508292095 — SHANDA ROSE BRAGG RDMS
Practice Location Address:

6709 S MINNESOTA AVE , SUITE 203
SIOUX FALLS, SD
57108-2592

Practice Phone: 605-274-2525
Practice Fax: 605-274-0620

Directions to “INFECTIOUS DISEASE SPECIALISTS PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.