Provider Demographics
NPI:1366181802
Name:NASIR, MOMIN (BS)
Entity type:Individual
Prefix:
First Name:MOMIN
Middle Name:
Last Name:NASIR
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 NEWTON ROAD
Mailing Address - Street 2:ROOM 1216 MERF
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242
Mailing Address - Country:US
Mailing Address - Phone:309-335-5041
Mailing Address - Fax:
Practice Address - Street 1:300 NEWTON ROAD
Practice Address - Street 2:ROOM 1216 MERF
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242
Practice Address - Country:US
Practice Address - Phone:319-335-2587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program