Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | H0070575 | MD |
Y | 111NI0900X | Internist | H0070575 | MD |
N | 207RI0200X | Infectious Disease | H0070575 | MD |
NPI | 1093023632 |
---|---|
Provider Name | Dr. Shabnam Naseer |
First Address | Havre De Grace, MD 21078-2143 |
Second Address | Havre De Grace, MD 21078-2143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2010 |
Last Update Date | 12/11/2010 |