Provider Demographics
NPI:1295197390
Name:NAZEER, SUROSH (MD)
Entity Type:Individual
Prefix:
First Name:SUROSH
Middle Name:
Last Name:NAZEER
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 1:7501 GREENWAY CENTER DR STE 730
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3545
Mailing Address - Country:US
Mailing Address - Phone:301-474-0400
Mailing Address - Fax:301-474-2686
Practice Address - Street 1:7501 GREENWAY CENTER DR STE 730
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3545
Practice Address - Country:US
Practice Address - Phone:301-474-0400
Practice Address - Fax:301-474-2686
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MDD0093428207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program