Provider Demographics
NPI:1518321082
Name:ALEEMUDDIN, NEHAL MOHAMMED (MD)
Entity Type:Individual
Prefix:DR
First Name:NEHAL
Middle Name:MOHAMMED
Last Name:ALEEMUDDIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18708-1121
Mailing Address - Country:US
Mailing Address - Phone:570-675-0900
Mailing Address - Fax:570-674-8912
Practice Address - Street 1:176 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SHAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18708-1121
Practice Address - Country:US
Practice Address - Phone:570-675-0900
Practice Address - Fax:570-674-9814
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD468385207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine