MEDICARE: JAWAD NAZIR MD

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	5172	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4996034	OTHER	SD	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972579118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAWAD NAZIR MD

Provider Business Mailing Address
First Line	:	6709 S MINNESOTA AVE
Second Line	:	STE 102
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-2592
Country	:	US
Telephone Number	:	605-322-7250
Fax Number	:	605-331-6401

Provider Business Practice Location Address
First Line	:	6709 S MINNESOTA AVE STE 102
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-2593
Country	:	US
Telephone Number	:	605-322-7250
Fax Number	:	605-332-7251

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

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	08/06/2014

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Directions to “ JAWAD NAZIR MD” Practice Location

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