Provider Demographics
NPI:1841306701
Name:NASHEDS, PA
Entity type:Organization
Organization Name:NASHEDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAHER
Authorized Official - Middle Name:N
Authorized Official - Last Name:NASHED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-392-8770
Mailing Address - Street 1:111 WEST HIGH STREET
Mailing Address - Street 2:SUITE 311
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921
Mailing Address - Country:US
Mailing Address - Phone:410-392-8770
Mailing Address - Fax:410-392-2645
Practice Address - Street 1:111 WEST HIGH STREET
Practice Address - Street 2:SUITE 311
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921
Practice Address - Country:US
Practice Address - Phone:410-392-8770
Practice Address - Fax:410-392-2645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10004769207RA0201X
MDD0052600207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & ImmunologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000027210Medicaid
MD821MMedicare ID - Type Unspecified
DE1000027210Medicaid
DEG01548Medicare PIN