Provider Demographics
NPI:1700164704
Name:GINWALA, NAEEMA TAHER (MD)
Entity Type:Individual
Prefix:MRS
First Name:NAEEMA
Middle Name:TAHER
Last Name:GINWALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NAEEMA
Other - Middle Name:GINWALA
Other - Last Name:HASAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:707 WORTHINGTON DR
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-4409
Mailing Address - Country:US
Mailing Address - Phone:215-913-1350
Mailing Address - Fax:
Practice Address - Street 1:111 E 210TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2401
Practice Address - Country:US
Practice Address - Phone:718-920-4321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-26
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program