Provider Demographics
NPI:1407898927
Name:NAQUI, MEHDI H (MD)
Entity Type:Individual
Prefix:
First Name:MEHDI
Middle Name:H
Last Name:NAQUI
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 1:1574 RTE 130
Mailing Address - Street 2:
Mailing Address - City:N BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-3011
Mailing Address - Country:US
Mailing Address - Phone:732-297-4100
Mailing Address - Fax:732-422-7243
Practice Address - Street 1:1574 RT 130 N
Practice Address - Street 2:
Practice Address - City:N BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-3011
Practice Address - Country:US
Practice Address - Phone:732-297-4100
Practice Address - Fax:732-422-7243
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-11
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA30014207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3076806Medicaid
NJ222401320OtherITIN
NJ222401320OtherITIN
NJ3076806Medicaid