Provider Demographics
NPI:1235165192
Name:MEMON, NAZIR (MS,MD,FACP)
Entity Type:Individual
Prefix:DR
First Name:NAZIR
Middle Name:
Last Name:MEMON
Suffix:
Gender:M
Credentials:MS,MD,FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 STATE STREET
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12305
Mailing Address - Country:US
Mailing Address - Phone:518-382-3290
Mailing Address - Fax:518-382-3398
Practice Address - Street 1:VA PRIMARY CARE
Practice Address - Street 2:1673 RT 9
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065
Practice Address - Country:US
Practice Address - Phone:518-383-8601
Practice Address - Fax:518-383-8511
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215587207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine