NADIR ASRAF EBRAHIM
NPI 1427745363
Student in an Organized Health Care Education/Training Program in Southaven, MS

Active since April 20, 2023PECOS Enrolled
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671(662) 772-3607 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nadir Asraf Ebrahim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NADIR ASRAF EBRAHIM (NPI 1427745363) is an individual student in an organized health care education/training program in Southaven, Mississippi and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427745363
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNADIR ASRAF EBRAHIM
Location Address7601 SOUTHCREST PKWYSouthaven, MS 38671-4742
Mailing Address7601 Southcrest PkwySouthaven, MS 38671-4742 · (662) 772-3607
Sole ProprietorYes
Enumeration DateApril 20, 2023
NPPES CertifiedApril 20, 2023
NPI 1427745363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

7601 SOUTHCREST PKWY, Southaven, MS 38671

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nadir Asraf Ebrahim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Anesthesiology
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Anesthesiology
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Specialist
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Nurse Practitioner (Acute Care)
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Emergency Medicine
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Emergency Medicine
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Nurse Anesthetist, Certified Registered
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427745363, enumerated as an "individual" on April 20, 2023.

The provider is located at 7601 SOUTHCREST PKWY SOUTHAVEN, MS 38671 and the phone number is (662) 772-3607.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.