Provider Demographics
NPI:1275621518
Name:NAWAZ, ABROO T (MD)
Entity Type:Individual
Prefix:
First Name:ABROO
Middle Name:T
Last Name:NAWAZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ABROO
Other - Middle Name:T
Other - Last Name:MAHMOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-339-2424
Mailing Address - Fax:717-334-6659
Practice Address - Street 1:40 V TWIN DR
Practice Address - Street 2:SUITE 204
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-7875
Practice Address - Country:US
Practice Address - Phone:717-339-2424
Practice Address - Fax:717-334-6659
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD428171146D00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA211193OtherJOHNS HOPKINS
PA121039OtherGEISINGER HEALTH PLAN
PA9629218OtherAETNA
PA2066570OtherHIGHMARK BLUE SHIELD
PAP00641338OtherRAILROAD MEDICARE
PA102169173Medicaid
MD018791700Medicaid
PA20080290OtherAMERIHEALTH MERCY-WMG
PA30123158OtherAMERIHEALTH MERCY - WMG
PA50079148OtherCAPITAL BLUE CROSS-WMG
PA121039OtherGEISINGER HEALTH PLAN
PA102169173Medicaid