MUSADDIQ NAZEERI MD PC NPI 1104948082

NPI Information

NPI: 1104948082
Provider Name: MUSADDIQ NAZEERI, MD, PC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Doing Business As: NAZEERI FAMILY MEDICINE
CLIA Number: 39D0988237
Address: 1023 POPLAR ST
LEBANON, PA
ZIP 17042
Phone: (717) 270-9446

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NPI Details

MUSADDIQ NAZEERI, MD, PC is a primary care clinic center in Lebanon, PA. MUSADDIQ NAZEERI, MD, PC NPI is 1104948082. The provider is registered as an organization entity type.
The provider Is Doing Business As Nazeeri Family Medicine.

The provider's business location address is:

1023 POPLAR ST
LEBANON, PA
ZIP 17042-636
Phone: (717) 270-9446
Fax: (717) 270-5669

The provider's authorized official is Sarah Margaret Nazeeri .
The authorized official title is Practice Administrator and has the following contact phone number (717) 270-9446.

The CLIA number assigned to this NPI record is 39D0988237 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 11/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	MD071071-L	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1038504970001	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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