Provider Demographics
NPI:1942270301
Name:NASSUR, ADNAN K (MD)
Entity Type:Individual
Prefix:DR
First Name:ADNAN
Middle Name:K
Last Name:NASSUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9173 ROUTE 30
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-3779
Mailing Address - Country:US
Mailing Address - Phone:724-863-8172
Mailing Address - Fax:724-864-9478
Practice Address - Street 1:9173 ROUTE 30
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-3779
Practice Address - Country:US
Practice Address - Phone:724-863-8172
Practice Address - Fax:724-864-9478
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD022961E207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease