Look up the most recent NPI and PECOS records

Shahryar Sean Nassi

Internal Medicine

Allopathic & Osteopathic Physicians

4700 Alliance Blvd, Suite 400, Plano, TX 75093-5323

PECOS Enrollment

This provider is enrolled in PECOS as SHAHRYAR NASSI.

Based on the most recent information from CMS, provider Shahryar Sean Nassi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1356542617
Provider Type
Individual
Full Name
Nassi, Shahryar Sean
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/31/2007
Last Updated
2/21/2014

Contact Information

Practice Location

4700 Alliance Blvd, Suite 400, Plano, TX 75093-5323

(469) 814-6631

Unlisted Fax

Mailing Location

4700 Alliance Blvd, Suite 400, Plano, TX 75093-5323

(469) 814-6631

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License M8863 Texas
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License BP10018362 Texas
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License M8863 Texas

Shahryar Sean Nassi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Code

Description

License

Code

Description

License

Code

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