Provider Demographics
NPI:1134475270
Name:NAZEER, OMER T (MD)
Entity type:Individual
Prefix:
First Name:OMER
Middle Name:T
Last Name:NAZEER
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 1:1955 1ST AVE
Mailing Address - Street 2:APT 532
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6408
Mailing Address - Country:US
Mailing Address - Phone:630-841-6596
Mailing Address - Fax:
Practice Address - Street 1:1955 1ST AVE
Practice Address - Street 2:APT 532
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:630-841-6596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-26
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ6885207P00000X
281P00000X, 282N00000X
IL036147470207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No281P00000XHospitalsChronic Disease Hospital
No282N00000XHospitalsGeneral Acute Care Hospital