Nasr, Issam Rafic
Nasr, Issam Rafic is an individual health care provider with primary practice located at 61 Memorial Medical Pkwy Suite 2815, Palm Coast FL 32164-5981. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Nasr, Issam Rafic can be contacted via phone (386) 586-1850.Contact Information
Primary practice address
61 Memorial Medical Pkwy Suite 2815
Palm Coast FL 32164-5981
Phone: (386) 586-1850
Fax: (386) 586-1850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36550 | Iowa |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME0109365 | Florida |
Profile Details
| NPI number | 1659325165 |
|---|---|
| LBN Legal business name | Nasr, Issam Rafic |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jan 17th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659325165 | NPPES |
| Iowa | MEDICAID | 0493098 | |
| Iowa | Other | 25320 |
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