Provider Demographics
NPI:1245814995
Name:NASIR, SYED ALISHAN (MD)
Entity type:Individual
Prefix:
First Name:SYED ALISHAN
Middle Name:
Last Name:NASIR
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 1:34 MAPLE STREET
Mailing Address - Street 2:DEPT. INTERNAL MEDICINE
Mailing Address - City:NORWALKC
Mailing Address - State:CT
Mailing Address - Zip Code:06850
Mailing Address - Country:US
Mailing Address - Phone:203-852-2025
Mailing Address - Fax:203-899-5224
Practice Address - Street 1:34 MAPLE STREET
Practice Address - Street 2:DEPT. INTERNAL MEDICINE
Practice Address - City:NORWALKC
Practice Address - State:CT
Practice Address - Zip Code:06850
Practice Address - Country:US
Practice Address - Phone:203-852-2025
Practice Address - Fax:203-899-5224
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-10
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program