Provider Demographics
NPI:1831369289
Name:NASR, NADIM M (MD)
Entity type:Individual
Prefix:
First Name:NADIM
Middle Name:M
Last Name:NASR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 79186
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21279-3610
Mailing Address - Country:US
Mailing Address - Phone:888-846-5527
Mailing Address - Fax:607-324-7615
Practice Address - Street 1:1701 N GEORGE MASON DRIVE
Practice Address - Street 2:ARLINGTON RADIATION ONCOLOGY
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205
Practice Address - Country:US
Practice Address - Phone:703-558-5000
Practice Address - Fax:703-558-5512
Is Sole Proprietor?:No
Enumeration Date:2008-03-01
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2008-007882085R0001X
DCMD0363882085R0001X
VA01012433552085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1609294156Medicaid