Provider Demographics
NPI:1114797487
Name:NASEEM, SABA
Entity Type:Individual
Prefix:
First Name:SABA
Middle Name:
Last Name:NASEEM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 GALLANT FOX CT
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-3381
Mailing Address - Country:US
Mailing Address - Phone:267-467-5343
Mailing Address - Fax:
Practice Address - Street 1:14 GALLANT FOX CT
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-3381
Practice Address - Country:US
Practice Address - Phone:267-467-5343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0015998183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist