Provider Demographics
NPI:1598730186
Name:AHMAD, NASIR M (MD)
Entity Type:Individual
Prefix:
First Name:NASIR
Middle Name:M
Last Name:AHMAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:200 PERRINE RD
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-2842
Mailing Address - Country:US
Mailing Address - Phone:732-895-1770
Mailing Address - Fax:732-362-7773
Practice Address - Street 1:200 PERRINE RD STE 223
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-2836
Practice Address - Country:US
Practice Address - Phone:732-895-1770
Practice Address - Fax:732-362-7773
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07500800207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJH95808Medicare UPIN