Organization Active NPI

Iqbal Nasir, MD PC

  • Adult Medicine Physician
  • Southfield, MI
National Provider Identifier
1922278746
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
IN039377 Issued in MI
Legal business name
IQBAL NASIR, MD PC
Practice address
18161 W 13 Mile Rd
Suite D4
Southfield, MI 48076-1113
Phone
(248) 901-1111
Fax
(248) 901-4444
NPI assigned
Mar 7, 2008
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Dr. Iqbal NasirNPI 1639261696
Title
Owner
Phone
(248) 901-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X IN039377 MI Primary

Addresses

Primary practice location

18161 W 13 Mile Rd
Suite D4
Southfield, MI 48076-1113

Mailing address

18161 W 13 Mile Rd
Suite D4
Southfield, MI 48076-1113
Phone (248) 901-1111

Other identifiers 4

IdentifierTypeStateIssuer
1639261696MedicaidMI
1922278746OtherMIGROUP NPI
170F377800OtherMIBCBS
1706324172OtherMIBCBS

National Provider Directory

National Provider Directory

Locations

20240 W 12 Mile Rd
Ste 2
Southfield, MI 48076
Phone (248) 358-3433

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1922278746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18161 W 13 MILE RD",
            "address_2": "SUITE D4",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761113",
            "telephone_number": "248-901-1111",
            "fax_number": "248-901-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18161 W 13 MILE RD",
            "address_2": "SUITE D4",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761113",
            "telephone_number": "248-901-1111",
            "fax_number": "248-901-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IQBAL NASIR, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "NASIR",
        "authorized_official_first_name": "IQBAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-901-1111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MI",
            "license": "IN039377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639261696",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1922278746",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "170F377800",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1706324172",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.