Provider Demographics
NPI:1013358167
Name:MOHAMMED, NAFEES AMEER (MBBS)
Entity Type:Individual
Prefix:DR
First Name:NAFEES
Middle Name:AMEER
Last Name:MOHAMMED
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:509 MED TECH PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-2579
Mailing Address - Country:US
Mailing Address - Phone:423-302-6565
Mailing Address - Fax:423-952-2175
Practice Address - Street 1:271 MEDICAL PARK BLVD
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-7455
Practice Address - Country:US
Practice Address - Phone:423-844-4800
Practice Address - Fax:423-230-6905
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-17
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDP28825207R00000X
TN61856207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine