Provider Demographics
NPI:1558642504
Name:ASLAM, NADEEM
Entity Type:Individual
Prefix:MR
First Name:NADEEM
Middle Name:
Last Name:ASLAM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6299 BLUE DART PL
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-4454
Mailing Address - Country:US
Mailing Address - Phone:347-218-0736
Mailing Address - Fax:
Practice Address - Street 1:6299 BLUE DART PL
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-4454
Practice Address - Country:US
Practice Address - Phone:347-218-0736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-05
Last Update Date:2012-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program