Anaizi, Amjad Nasr

Anaizi, Amjad Nasr is an sole proprietor health care provider with primary practice located at 10401 Hospital Dr Suite 101, Clinton MD 20735-3110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Anaizi, Amjad Nasr can be contacted via phone (301) 856-2323.

Contact Information

Primary practice address
10401 Hospital Dr Suite 101 Clinton MD 20735-3110
Phone: (301) 856-2323
Fax: (301) 856-0477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X D0076394 Maryland
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD040139 District of Columbia

Profile Details

NPI number 1396996385
LBN Legal business name Anaizi, Amjad Nasr
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2008
Last updated Apr 10th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396996385 NPPES
Maryland MEDICAID 555304100
Maryland MEDICAID 084050700

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