Musharraf a. Nizami, M.D. PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

41416 Issued in CO

Legal business name

MUSHARRAF A. NIZAMI, M.D. PC

Practice address

56 Club Manor Dr
Suite 100
Pueblo, CO 81008-1679

Phone

(719) 584-4767

NPI assigned

Oct 24, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Jameel Ahamed

Title

Billing Manager

Phone

(847) 227-0293

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1619305950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CLUB MANOR DR",
            "address_2": "SUITE 100",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081679",
            "telephone_number": "719-584-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CLUB MANOR DR",
            "address_2": "SUITE 100",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081679",
            "telephone_number": "719-584-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSHARRAF A. NIZAMI, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "AHAMED",
        "authorized_official_first_name": "JAMEEL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "847-227-0293",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "41416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Michelle Murphy, RPT
• Kimberly Marie Murphy
• Michael Shane Murphy, CRNA
• Barbara C Murray, LCSW
• Colin Murtaugh, PHARMD
• Donna L Musso, RDH
• John Musso, LCSW
• Erik Jon Mutterer, RDH
• Jaclyn Amber Mutz
• My Local Colorado Dental Practice, LLC (Advantage Dental Group)

• Psychiatry Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.