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NPI Code Detail

MEDICARE: TALAT MEHMOOD NAZIR MD, DO

MEDICARE: TALAT MEHMOOD NAZIR MD, DO
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
1207ZP0101XAnatomic Pathology Physician7351AK
2207ZP0105XClinical Pathology/Laboratory Medicine Physician7351AK

General Provider Information

NPI Number : 1932220340
Entity Type Code : Individual
Provider Name (Legal Business Name) : TALAT MEHMOOD NAZIR MD, DO
Provider Business Mailing Address
First Line : PO BOX 660
Second Line :
City : SOLDOTNA
State : AK
Zip : 99669-0660
Country : US
Telephone Number : 516-313-4438
Fax Number :
Provider Business Practice Location Address
First Line : 44455 STERLING HWY
Second Line :
City : SOLDOTNA
State : AK
Zip : 99669-7936
Country : US
Telephone Number : 907-252-3557
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 02/15/2012

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