Active NPI
Iqbal Nasir, MD PC
- Adult Medicine Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- IN039377
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Iqbal Nasir
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639261696 | Medicaid | MI | |
| 1922278746 | Other | MI | GROUP NPI |
| 170F377800 | Other | MI | BCBS |
| 1706324172 | Other | MI | BCBS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Adult Medicine Physician
- Southfield, MI
- NPI 1639261696
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.