Provider Demographics
NPI:1881999803
Name:A. F. NAQVI, M.D., LLC
Entity type:Organization
Organization Name:A. F. NAQVI, M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AZEEZ-FATHIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAQVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-203-0293
Mailing Address - Street 1:PO BOX 7991
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-7991
Mailing Address - Country:US
Mailing Address - Phone:732-203-0293
Mailing Address - Fax:732-203-0284
Practice Address - Street 1:233 MIDDLE RD
Practice Address - Street 2:SUITE # 1
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1957
Practice Address - Country:US
Practice Address - Phone:732-203-0293
Practice Address - Fax:732-203-0284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-22
Last Update Date:2011-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03959300207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty