Nasr, Issam Rafic

Nasr, Issam Rafic is an individual health care provider with primary practice located at 61 Memorial Medical Pkwy Suite 2815, Palm Coast FL 32164-5981. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Nasr, Issam Rafic can be contacted via phone (386) 586-1850.

Contact Information

Primary practice address
61 Memorial Medical Pkwy Suite 2815 Palm Coast FL 32164-5981
Phone: (386) 586-1850
Fax: (386) 586-1850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36550 Iowa
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0109365 Florida

Profile Details

NPI number 1659325165
LBN Legal business name Nasr, Issam Rafic
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jan 17th, 2020 - about 5 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 1659325165 NPPES
Iowa MEDICAID 0493098
Iowa Other 25320

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