Provider Demographics
NPI:1790735579
Name:NASSAR, RAMZI M (MD)
Entity Type:Individual
Prefix:
First Name:RAMZI
Middle Name:M
Last Name:NASSAR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2440 E TUDOR RD
Mailing Address - Street 2:PMB 1145
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-1185
Mailing Address - Country:US
Mailing Address - Phone:907-562-0001
Mailing Address - Fax:907-562-0017
Practice Address - Street 1:4048 LAUREL ST
Practice Address - Street 2:STE 305
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5389
Practice Address - Country:US
Practice Address - Phone:907-562-0001
Practice Address - Fax:907-562-0017
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2009-09-09
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Provider Licenses
StateLicense IDTaxonomies
AK35222084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD22531Medicaid
AKMD22531Medicaid
G73773Medicare UPIN