Nasir, Shahid M

Nasir, Shahid M is an individual health care provider with primary practice located at 1052 Ponte Vedra Blvd , Ponte Vedra Beach FL 32082-4015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Nasir, Shahid M can be contacted via phone (904) 551-0703.

Contact Information

Primary practice address
1052 Ponte Vedra Blvd Ponte Vedra Beach FL 32082-4015
Fax: (904) 551-0709
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD17542 Maine
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME93304 Florida

Profile Details

NPI number 1811904238
LBN Legal business name Nasir, Shahid M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Oct 7th, 2021 - about 3 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 1811904238 NPPES
Florida MEDICAID 276663900

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