Provider Demographics
NPI:1962482109
Name:NASEER, SAQIB (MD)
Entity Type:Individual
Prefix:DR
First Name:SAQIB
Middle Name:
Last Name:NASEER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BRAEBURN
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-1443
Mailing Address - Country:US
Mailing Address - Phone:860-646-2627
Mailing Address - Fax:
Practice Address - Street 1:257 E CENTER ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-5214
Practice Address - Country:US
Practice Address - Phone:860-643-5101
Practice Address - Fax:860-533-9747
Is Sole Proprietor?:No
Enumeration Date:2006-01-21
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT035389207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTG27460Medicare UPIN