Provider Demographics
NPI:1093276404
Name:NASEEM, MEHROSH (MD)
Entity Type:Individual
Prefix:
First Name:MEHROSH
Middle Name:
Last Name:NASEEM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE, OSU
Mailing Address - Street 2:2231 N. HIGH STREET
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-1141
Mailing Address - Country:US
Mailing Address - Phone:614-293-2715
Mailing Address - Fax:
Practice Address - Street 1:REID HEALTH
Practice Address - Street 2:1100 REID PARKWAY
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-1905
Practice Address - Country:US
Practice Address - Phone:765-935-8808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-28
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.144696207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine