Ghafoor, Nasrullah

Ghafoor, Nasrullah is an individual health care provider with primary practice located at 4466 Swilcan Bridge Ln N , Jacksonville FL 32224-5617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Ghafoor, Nasrullah can be contacted via phone (904) 281-0944.

Contact Information

Primary practice address
4466 Swilcan Bridge Ln N Jacksonville FL 32224-5617
Fax: (904) 281-9806
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME68887 Florida

Profile Details

NPI number 1972585081
LBN Legal business name Ghafoor, Nasrullah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Aug 12th, 2014 - about 10 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 1972585081 NPPES
Florida MEDICAID 253275100

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