Provider Demographics
NPI:1356308050
Name:NASEEM, RAO HARIS (MD)
Entity Type:Individual
Prefix:
First Name:RAO
Middle Name:HARIS
Last Name:NASEEM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 N I-35 E
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-5141
Mailing Address - Country:US
Mailing Address - Phone:940-565-0800
Mailing Address - Fax:940-565-0820
Practice Address - Street 1:2609 SCRIPTURE ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2302
Practice Address - Country:US
Practice Address - Phone:940-565-0800
Practice Address - Fax:940-565-0884
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3410207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178218701Medicaid
TX8CF985OtherBCBS
TX178218703Medicaid
G25086Medicare UPIN
TX8CF985OtherBCBS
TX178218703Medicaid