Provider Demographics
NPI:1275588394
Name:NADIR, ADNAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ADNAN
Middle Name:
Last Name:NADIR
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 1:7610 N STEMMONS FWY STE 600
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-4228
Mailing Address - Country:US
Mailing Address - Phone:214-689-5960
Mailing Address - Fax:469-713-8084
Practice Address - Street 1:4221 MEDICAL PKWY
Practice Address - Street 2:BUILDING 100, SUITE 150
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4540
Practice Address - Country:US
Practice Address - Phone:972-939-2121
Practice Address - Fax:972-939-2120
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0444207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP000493M8Medicaid
TXG21802Medicare UPIN
TXG21802Medicare UPIN