Mohammad a Sabur Nasiri

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

License

35740 Issued in NC

Legal business name

MOHAMMAD A SABUR NASIRI

Practice address

508 Sandhurst Dr
Fayetteville, NC 28304-4434

Phone

(910) 485-0900

Fax

(910) 485-0080

NPI assigned

May 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohammad Sabur Nasiri, MD

Title

Owner

Phone

(910) 485-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammad Abous Sabur-Nasiri, MD

  • Pediatrics Physician
  • Fayetteville, NC
  • NPI 1205878675
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1295943223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044434",
            "telephone_number": "910-485-0900",
            "fax_number": "910-485-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044434",
            "telephone_number": "910-485-0900",
            "fax_number": "910-485-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD A SABUR NASIRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "NASIRI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "SABUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-485-0900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NC",
            "license": "35740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6961881",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendall Mobley, PTA
• Indira Modepalle, MD
• Lynne Ann Modzelesky, PSYD
• Brittany Taylor Moesch, CCC-SLP
• Omair Mohamed
• Felipe Jungblut Mohr, DDS
• William C Molair, MD
• Jessica Danielle Molina, RN
• Rebeca Molina
• Pedro Juan Molinaarroyo, RBT

• Student Health Clinic/Center in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Student Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.