Provider Demographics
NPI:1336190578
Name:MASOOD, NASEEM JEHAN (MD)
Entity Type:Individual
Prefix:
First Name:NASEEM
Middle Name:JEHAN
Last Name:MASOOD
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3214 CHARLES B ROOT WYND
Mailing Address - Street 2:SUITE 211
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-5440
Mailing Address - Country:US
Mailing Address - Phone:919-787-9993
Mailing Address - Fax:919-787-7073
Practice Address - Street 1:3214 CHARLES B ROOT WYND
Practice Address - Street 2:SUITE 211
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-5440
Practice Address - Country:US
Practice Address - Phone:919-787-9993
Practice Address - Fax:919-787-7073
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2015-10-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9600122207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8954628Medicaid
NCF38208Medicare UPIN
NC2233725Medicare ID - Type Unspecified