Provider Demographics
NPI:1679531347
Name:NAZIR, TABINDA (MD)
Entity type:Individual
Prefix:MISS
First Name:TABINDA
Middle Name:
Last Name:NAZIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 ERWIN ROAD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-954-3049
Mailing Address - Fax:919-470-8469
Practice Address - Street 1:2310 ERWIN ROAD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-8710
Practice Address - Country:US
Practice Address - Phone:919-954-3049
Practice Address - Fax:919-470-8469
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2005-01515207R00000X, 207RI0200X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
562003319OtherTRICARE
NC5902707Medicaid
562003319OtherTRICARE
I48606Medicare UPIN