MOHAMMAD A SABUR NASIRI; NPI #1295943223

Contact Information

MOHAMMAD A SABUR NASIRI

508 SANDHURST DR
FAYETTEVILLE, NC 28304-4434

Phone: 910-485-0900
Fax: 910-485-0080
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Student Health	261QS1000X

Indicates primary specialty

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NPI Profile & details for MOHAMMAD A SABUR NASIRI

NPI Number 1295943223

LBN Legal business name MOHAMMAD A SABUR NASIRI

Authorized official MOHAMMAD NASIRI - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/21/2007

Last updated 06/16/2008 - About 18 years ago

Identifiers

NC	License #	35740
NC	Medicaid	6961881

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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