Provider Demographics
NPI:1629062492
Name:NASHED, SUZY FAWZY (MD)
Entity Type:Individual
Prefix:
First Name:SUZY
Middle Name:FAWZY
Last Name:NASHED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SUZY
Other - Middle Name:F
Other - Last Name:HANNA MIKHAIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:111 W HIGH ST
Mailing Address - Street 2:SUITE 315
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-5529
Mailing Address - Country:US
Mailing Address - Phone:410-392-8770
Mailing Address - Fax:410-392-2645
Practice Address - Street 1:111 W HIGH ST
Practice Address - Street 2:SUITE 315
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-5529
Practice Address - Country:US
Practice Address - Phone:410-392-8770
Practice Address - Fax:410-392-2645
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC100074992084P0800X
MDD00609592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry