Provider Demographics
NPI:1154646149
Name:NASERI, HUSSAIN M (MD)
Entity Type:Individual
Prefix:DR
First Name:HUSSAIN
Middle Name:M
Last Name:NASERI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:200 E RIDGEWAY AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50702-5060
Mailing Address - Country:US
Mailing Address - Phone:319-272-2070
Mailing Address - Fax:319-272-2077
Practice Address - Street 1:200 E RIDGEWAY AVE STE 400
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50702
Practice Address - Country:US
Practice Address - Phone:319-272-2070
Practice Address - Fax:319-272-2077
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV28659207RH0003X
IAMD-46706207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology