Provider Demographics
NPI:1134001928
Name:NASIR, KHAZRA
Entity type:Individual
Prefix:
First Name:KHAZRA
Middle Name:
Last Name:NASIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82175 COUNTRY POINTE CIR
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11427-3001
Mailing Address - Country:US
Mailing Address - Phone:646-944-0909
Mailing Address - Fax:
Practice Address - Street 1:82175 COUNTRY POINTE CIR
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-3001
Practice Address - Country:US
Practice Address - Phone:646-944-0909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education