Provider Demographics
NPI:1548441876
Name:NASAR, MOHAMMAD NAWAZ (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:NAWAZ
Last Name:NASAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8131 WOODSMUIR DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33412-1646
Mailing Address - Country:US
Mailing Address - Phone:561-588-4844
Mailing Address - Fax:877-519-4595
Practice Address - Street 1:5870 HIATUS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-6424
Practice Address - Country:US
Practice Address - Phone:561-588-4844
Practice Address - Fax:877-519-4595
Is Sole Proprietor?:No
Enumeration Date:2007-11-15
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME100359207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL280182500Medicaid
FLCT481WMedicare PIN