Provider Demographics
NPI:1366232019
Name:NASIM, BISHAWY N
Entity type:Individual
Prefix:
First Name:BISHAWY
Middle Name:N
Last Name:NASIM
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1734 E UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85034-6733
Mailing Address - Country:US
Mailing Address - Phone:602-758-2700
Mailing Address - Fax:
Practice Address - Street 1:1734 E UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-6733
Practice Address - Country:US
Practice Address - Phone:602-758-2700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)