Provider Demographics
NPI:1891172235
Name:NADEEM, MUHAMMD
Entity Type:Individual
Prefix:
First Name:MUHAMMD
Middle Name:
Last Name:NADEEM
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 1:140 PELHAM RD APT 3H
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-3117
Mailing Address - Country:US
Mailing Address - Phone:718-213-1694
Mailing Address - Fax:
Practice Address - Street 1:281 CONNECTICUT AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06854-1938
Practice Address - Country:US
Practice Address - Phone:203-299-5486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-06
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY060294183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist