Basic Information
| Provider Information | |||||||||
| NPI: | 1093023632 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NASEER | ||||||||
| FirstName: | SHABNAM | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2027 PULASKI HWY | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | HAVRE DE GRACE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210782143 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4438436262 | ||||||||
| FaxNumber: | 4438436264 | ||||||||
| Practice Location | |||||||||
| Address1: | 2027 PULASKI HWY | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | HAVRE DE GRACE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210782143 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4438436262 | ||||||||
| FaxNumber: | 4438436264 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/16/2010 | ||||||||
| LastUpdateDate: | 11/12/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | H0070575 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 207RI0200X | H0070575 | MD | N | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
No ID Information.