Provider Demographics
NPI:1558452565
Name:GHANI, NASIMUL (MD)
Entity Type:Individual
Prefix:
First Name:NASIMUL
Middle Name:
Last Name:GHANI
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 1:2000 16TH ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-5117
Mailing Address - Country:US
Mailing Address - Phone:303-876-7243
Mailing Address - Fax:866-917-5396
Practice Address - Street 1:307 N 46TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68503-3714
Practice Address - Country:US
Practice Address - Phone:402-466-8259
Practice Address - Fax:866-711-9035
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE24672207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE099546003Medicare PIN
NDH79834Medicare UPIN