Provider Demographics
NPI:1730445396
Name:NASSIR, BISHARA ABDULRAHMAN (MD)
Entity type:Individual
Prefix:DR
First Name:BISHARA
Middle Name:ABDULRAHMAN
Last Name:NASSIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3856 LA BELLE ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55421-5032
Mailing Address - Country:US
Mailing Address - Phone:612-245-2166
Mailing Address - Fax:
Practice Address - Street 1:701 PARK AVE SOUTH - MEDICINE
Practice Address - Street 2:HENNEPIN COUNTY MEDICAL CENTER
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415-1829
Practice Address - Country:US
Practice Address - Phone:612-873-2300
Practice Address - Fax:612-904-4358
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN108431208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist