Provider Demographics
NPI:1669453551
Name:NAQVI, NUZHAT (MD)
Entity Type:Individual
Prefix:
First Name:NUZHAT
Middle Name:
Last Name:NAQVI
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 1:1024 IVAL JAMES BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-7622
Mailing Address - Country:US
Mailing Address - Phone:859-353-8041
Mailing Address - Fax:859-353-8042
Practice Address - Street 1:1024 IVAL JAMES BLVD STE B
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-7622
Practice Address - Country:US
Practice Address - Phone:859-353-8041
Practice Address - Fax:859-353-8042
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY36218207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY080187638OtherRAILROAD MEDICARE
KY64060403Medicaid
0216361Medicare ID - Type Unspecified
KY64060403Medicaid