Provider Demographics
NPI:1497335632
Name:ALLEN-BERHAN, NAKIA TAMESHIA (MD)
Entity Type:Individual
Prefix:
First Name:NAKIA
Middle Name:TAMESHIA
Last Name:ALLEN-BERHAN
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 1:9257 GETTYSBURG ST
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-1169
Mailing Address - Country:US
Mailing Address - Phone:516-698-6914
Mailing Address - Fax:
Practice Address - Street 1:900 CATON AVE # MS 207
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5201
Practice Address - Country:US
Practice Address - Phone:667-234-2718
Practice Address - Fax:410-951-4007
Is Sole Proprietor?:No
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program