Provider Demographics
NPI:1467647024
Name:KHUSRO, NAFEES F (MD)
Entity Type:Individual
Prefix:
First Name:NAFEES
Middle Name:F
Last Name:KHUSRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 JENKINS RD
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-2304
Mailing Address - Country:US
Mailing Address - Phone:978-459-2273
Mailing Address - Fax:
Practice Address - Street 1:1230 BRIDGE STREET
Practice Address - Street 2:MEDICAL CENTER OF GREATER LOWELL
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:02026-6838
Practice Address - Country:US
Practice Address - Phone:978-459-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA77336207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine