Provider Demographics
NPI:1265824403
Name:GHAZALI, NASEEM (MD, DDS)
Entity Type:Individual
Prefix:DR
First Name:NASEEM
Middle Name:
Last Name:GHAZALI
Suffix:
Gender:F
Credentials:MD, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650, WEST BALTIMORE STREET,
Mailing Address - Street 2:ROOM 1216
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201
Mailing Address - Country:US
Mailing Address - Phone:410-706-3964
Mailing Address - Fax:410-706-0891
Practice Address - Street 1:650, WEST BALTIMORE STREET,
Practice Address - Street 2:ROOM 1216
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201
Practice Address - Country:US
Practice Address - Phone:410-706-3964
Practice Address - Fax:410-706-0891
Is Sole Proprietor?:No
Enumeration Date:2015-02-25
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program