Provider Demographics
NPI:1043379928
Name:NAQVI, ASAD MURTUZA (MD)
Entity Type:Individual
Prefix:DR
First Name:ASAD
Middle Name:MURTUZA
Last Name:NAQVI
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:PO BOX 6639
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31208-6639
Mailing Address - Country:US
Mailing Address - Phone:478-742-8785
Mailing Address - Fax:
Practice Address - Street 1:745 RIVERSIDE DRIVE LN
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2658
Practice Address - Country:US
Practice Address - Phone:478-742-8785
Practice Address - Fax:478-742-3515
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0398852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA52575620 001OtherBCBS PROVIDER #
GA100411OtherCENPATICO PROVIDER #
GA100411OtherCENPATICO PROVIDER #
GAG07265Medicare UPIN