Provider Demographics
NPI:1912494287
Name:ABUELGASIM, NAZIK AWAD AKASHA (MD)
Entity type:Individual
Prefix:DR
First Name:NAZIK
Middle Name:AWAD AKASHA
Last Name:ABUELGASIM
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Gender:
Credentials:MD
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Mailing Address - Street 1:PO BOX 7412011
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-2011
Mailing Address - Country:US
Mailing Address - Phone:314-362-7241
Mailing Address - Fax:314-362-0296
Practice Address - Street 1:1600 S BRENTWOOD BLVD
Practice Address - Street 2:DIV NEUROLOGY GENERAL, STE 600
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63144-1320
Practice Address - Country:US
Practice Address - Phone:314-362-7241
Practice Address - Fax:314-362-0296
Is Sole Proprietor?:No
Enumeration Date:2018-04-22
Last Update Date:2025-04-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO20240382552084N0400X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200148203Medicaid