Provider Demographics
NPI:1093023632
Name:NASEER, SHABNAM (DO)
Entity Type:Individual
Prefix:DR
First Name:SHABNAM
Middle Name:
Last Name:NASEER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2027 PULASKI HWY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-2143
Mailing Address - Country:US
Mailing Address - Phone:443-843-6262
Mailing Address - Fax:443-843-6264
Practice Address - Street 1:2027 PULASKI HWY
Practice Address - Street 2:SUITE 203
Practice Address - City:HAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078-2143
Practice Address - Country:US
Practice Address - Phone:443-843-6262
Practice Address - Fax:443-843-6264
Is Sole Proprietor?:No
Enumeration Date:2010-09-16
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDH0070575207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease