| Doctor Name: | DR. SHAHIN NASSIRKHANI |
| NPI Number: | 1033180088 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 01059599A |
| Business Practice Address: | Womack Army Medical Center Fort Bragg, NC - 283100001 |
| Business Phone Number: | 9109078922 |
| Business Fax Number: | 9109076069 |
| Mailing Address: | Womack Army Medical Center, Mcxc-cod (credentials Office) FORT BRAGG |
| State: | NC |
| Postal Code: | 283100001 |
| Phone Number: | 9109078922 |
| Fax Number: | 9109076069 |
| NPI Enumeration Date: | 01/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01059599A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |