NISARFATHIMA KAZIMUDDIN (NPI# 1124028006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124028006 |
| Entity Type | Individual |
| Full Name | NISARFATHIMA KAZIMUDDIN |
| Other Name | NISARFATHIMA ABDULWAHEED |
| Credential | MD |
| Practice Address |
825 Second Ave Ste B1 Bowling Green KY 42101 |
| Practice Telephone | 2707820151 |
| Practice Fax Number | 2707827528 |
| Mailing Telephone | 2707820151 |
| Mailing Fax Number | 2707827528 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2014-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
36859 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64044639 | 05 |
| Street Address |
825 SECOND AVE STE B1 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310409 | Mohammed Kazimuddin | Internal Medicine | 825 Second Ave, Ste B1, Bowling Green, KY 42101 | 2005-07-19 |
| 1225328040 | Deborah Elkin Gravil | Nurse Practitioner | 825 Second Ave, Ste B1, Bowling Green, KY 42101 | 2011-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285864488 | Rise Medical Group, LLC | Internal Medicine | 960 W Wooster St Ste 107, Bowling Green, OH 43402-2646 | 2009-07-22 |
| 1063827103 | Galo Martin Sanchez Palacios | Internal Medicine | 201 Park St, Bowling Green, KY 42101-1708 | 2014-06-27 |
| 1821409319 | Phalgoon A. Shah | Internal Medicine | 201 Park St, Bowling Green, KY 42101-1708 | 2014-05-19 |
| 1003256835 | Zafirah Salman | Internal Medicine | 201 Park St, Bowling Green, KY 42101-1742 | 2013-06-25 |
| 1285615245 | Hesham H El Gamal | Internal Medicine | 960 W Wooster St, Suite 107, Bowling Green, OH 43402-2644 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447543293 | Theresa V Case | Internal Medicine | University of Kentucky Kentucky Clinic L543, 740 S. Limestone, Lexington, KY 40536-2813 | 2011-05-25 |
| 1669764494 | Ayesha Haroon | Internal Medicine | 740 South Limestone Room A301, Lexington, KY 40536-5307 | 2011-05-12 |
| 1154634947 | Abid S. Butt | Internal Medicine | 3999 Dutchmans Ln Ste 2f, Louisville, KY 40207-4748 | 2010-07-21 |
| 1376727552 | Anil Gopinath | Internal Medicine | Division of Pulmonary Critical Care Sleep, Kentucky Clinic, L543, Lexington, KY 40536-0001 | 2007-12-24 |
| 1851500961 | Rodrigo Silva Cavallazzi | Internal Medicine | 401 E Chestnut Street, #310, University Medical Associates, Louisville, KY 40202-5703 | 2007-05-22 |
| 1063626653 | Umair Ahmad Gauhar | Internal Medicine | 550 S Jackson St # A3r40, University of Louisville, Division of Pulmonary Med, Louisville, KY 40202-1622 | 2007-05-10 |
| 1396710091 | Mohamad R Abul-khoudoud | Internal Medicine | 613 23rd St Ste G10, Ashland, KY 41101-2886 | 2006-02-17 |
| 1386618221 | Rajanna B Ramaswamy | Internal Medicine | 4002 Kresge Way Bldg D, Louisville, KY 40207-4661 | 2006-02-16 |
| 1083699102 | Peter Eugene Morris | Internal Medicine | Univ of Ky Div of Pulmonary Critical Care, 740 S. Limestone, L543 Ky Clinic, Lexington, KY 40536-0284 | 2005-12-13 |
| 1801878806 | Azmi Draw | Internal Medicine | 10214 Worthington Ln, Prospect, KY 40059-8551 | 2005-11-16 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
Please comment or provide details below to improve the information on NISARFATHIMA KAZIMUDDIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.