Provider Demographics
NPI:1396460416
Name:NEXUS-MD INC.
Entity type:Organization
Organization Name:NEXUS-MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKHSHINEJAD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:415-523-4445
Mailing Address - Street 1:510C E EL CAMINO REAL STE 70266
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-1940
Mailing Address - Country:US
Mailing Address - Phone:414-469-5111
Mailing Address - Fax:
Practice Address - Street 1:919 S. WINCHESTER BLVD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128
Practice Address - Country:US
Practice Address - Phone:414-469-5111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management