Provider Demographics
NPI:1891560009
Name:MUHAMMAD, NASIR AL-HAJJ (CIT)
Entity Type:Individual
Prefix:MR
First Name:NASIR
Middle Name:AL-HAJJ
Last Name:MUHAMMAD
Suffix:
Gender:M
Credentials:CIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 CENTURY VILLAGE BLVD STE 247
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-2006
Mailing Address - Country:US
Mailing Address - Phone:318-395-6619
Mailing Address - Fax:
Practice Address - Street 1:201 CENTURY VILLAGE BLVD STE 247
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-2006
Practice Address - Country:US
Practice Address - Phone:318-395-6619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator