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

Q: What is Nadir Ebrahim's NPI number?

The NPI number for Nadir Ebrahim is 1427745363. It was assigned to this individual provider in the NPPES registry on April 20, 2023.

Q: What is Nadir Ebrahim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nadir Ebrahim was last updated on April 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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.

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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

Phone(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

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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

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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.