Provider Demographics
NPI:1023025707
Name:NAGARIA, ABDUL MATEEN (MD)
Entity Type:Individual
Prefix:
First Name:ABDUL
Middle Name:MATEEN
Last Name:NAGARIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3810
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64803-3810
Mailing Address - Country:US
Mailing Address - Phone:417-347-8570
Mailing Address - Fax:417-347-8544
Practice Address - Street 1:932 E 34TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-3932
Practice Address - Country:US
Practice Address - Phone:417-347-8570
Practice Address - Fax:417-347-8544
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2002023331207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology