Provider Demographics
NPI:1245284165
Name:NAEEM, MUHAMMAD (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:
Last Name:NAEEM
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 1:4711 BILL SIMMONS RD
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-4332
Mailing Address - Country:US
Mailing Address - Phone:682-214-1036
Mailing Address - Fax:817-622-8068
Practice Address - Street 1:4711 BILL SIMMONS RD
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-4332
Practice Address - Country:US
Practice Address - Phone:682-214-1036
Practice Address - Fax:817-622-8068
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5897207R00000X, 207R00000X
NJ25MA07972300207R00000X
NY238683207R00000X
FL67175207R00000X
PAMD431272207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine