Provider Demographics
NPI:1003817511
Name:NSEIR, NAWAF I (MD)
Entity Type:Individual
Prefix:
First Name:NAWAF
Middle Name:I
Last Name:NSEIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:562 SHEARER ST STE B104
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2746
Mailing Address - Country:US
Mailing Address - Phone:724-836-8303
Mailing Address - Fax:724-836-8311
Practice Address - Street 1:562 SHEARER ST STE B104
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2746
Practice Address - Country:US
Practice Address - Phone:724-836-8303
Practice Address - Fax:724-836-8311
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036422L207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010443960006Medicaid
PA0009992810001Medicaid
PA0010443960006Medicaid