Provider Demographics
NPI:1780423392
Name:NAZAMI, NADEEM
Entity type:Individual
Prefix:
First Name:NADEEM
Middle Name:
Last Name:NAZAMI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 SW 6TH CT STE 350
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3493
Mailing Address - Country:US
Mailing Address - Phone:305-890-1113
Mailing Address - Fax:
Practice Address - Street 1:7901 SW 6TH CT STE 350
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3493
Practice Address - Country:US
Practice Address - Phone:305-890-1113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-22
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies