Provider Demographics
NPI:1093927642
Name:NAQVI, SHABBIR ALI (MD)
Entity Type:Individual
Prefix:DR
First Name:SHABBIR
Middle Name:ALI
Last Name:NAQVI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 SOMERSET RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-4406
Mailing Address - Country:US
Mailing Address - Phone:732-890-1121
Mailing Address - Fax:
Practice Address - Street 1:5936 LIMESTONE RD STE 301
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-8932
Practice Address - Country:US
Practice Address - Phone:302-234-2380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-00096922085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1093927642Medicaid
DE1093927642Medicaid