Provider Demographics
NPI:1801800537
Name:NAEEM, MEHMOODA (MD)
Entity type:Individual
Prefix:
First Name:MEHMOODA
Middle Name:
Last Name:NAEEM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8609 SECOND AVENUE
Mailing Address - Street 2:SUITE 404B
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910
Mailing Address - Country:US
Mailing Address - Phone:301-527-1650
Mailing Address - Fax:301-527-8752
Practice Address - Street 1:8609 SECOND AVENUE
Practice Address - Street 2:SUITE 404B
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910
Practice Address - Country:US
Practice Address - Phone:301-527-1650
Practice Address - Fax:301-527-8752
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0064578207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine