Provider Demographics
NPI:1235191925
Name:NAQVI, SHEHLA HASNAIN (MD)
Entity Type:Individual
Prefix:
First Name:SHEHLA
Middle Name:HASNAIN
Last Name:NAQVI
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 1:105 STEVENS AVE
Mailing Address - Street 2:SUITE 502
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-2686
Mailing Address - Country:US
Mailing Address - Phone:914-667-4142
Mailing Address - Fax:914-667-4121
Practice Address - Street 1:105 STEVENS AVE
Practice Address - Street 2:SUITE 502
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-2686
Practice Address - Country:US
Practice Address - Phone:914-667-4142
Practice Address - Fax:914-667-4121
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204220959208000000X
NY189788208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01430157Medicaid