MEDICARE: MEHMOODA 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	L2494	TX

General Provider Information

NPI Number	:	1790944510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEHMOODA NASIR M.D.

Provider Business Mailing Address
First Line	:	800 W AIRPORT FWY
Second Line	:	430
City	:	IRVING
State	:	TX
Zip	:	75062-6313
Country	:	US
Telephone Number	:	972-554-7131
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 W AIRPORT FWY
Second Line	:	430
City	:	IRVING
State	:	TX
Zip	:	75062-6313
Country	:	US
Telephone Number	:	972-554-7131
Fax Number	:

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

Provider Enumeration Date	:	06/06/2008
Last Update Date	:	10/19/2023

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