Provider Demographics
NPI:1710090675
Name:NAYER, MUHAMMAD ABU-SALEH (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:ABU-SALEH
Last Name:NAYER
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 1:3015 HWY 95
Mailing Address - Street 2:SUITE 109
Mailing Address - City:BULLHEAD CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86442
Mailing Address - Country:US
Mailing Address - Phone:928-763-5055
Mailing Address - Fax:928-763-5056
Practice Address - Street 1:3015 HIGHWAY 95
Practice Address - Street 2:SUITE 109
Practice Address - City:BULLHEAD CITY
Practice Address - State:AZ
Practice Address - Zip Code:86442-4334
Practice Address - Country:US
Practice Address - Phone:928-763-5055
Practice Address - Fax:928-763-5056
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ237062084N0400X, 2084N0600X
NV125302084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ355009Medicaid
NVV108173Medicare PIN
AZZ118629Medicare PIN
AZ355009Medicaid