Provider Demographics
NPI:1932134558
Name:BASHIR, NAIM S
Entity Type:Individual
Prefix:DR
First Name:NAIM
Middle Name:S
Last Name:BASHIR
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:NAIM
Other - Middle Name:
Other - Last Name:BASHIRUDDIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8266 ATLEE RD
Mailing Address - Street 2:SUITE 229
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-1804
Mailing Address - Country:US
Mailing Address - Phone:804-764-7491
Mailing Address - Fax:804-764-7495
Practice Address - Street 1:8266 ATLEE RD
Practice Address - Street 2:SUITE 229
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-1804
Practice Address - Country:US
Practice Address - Phone:804-764-7491
Practice Address - Fax:804-764-7495
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012385112080S0012X, 2080P0214X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No2080S0012XAllopathic & Osteopathic PhysiciansPediatricsSleep Medicine
No2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010345715Medicaid
0305243OtherCIGNA
198076OtherANTHEM
VAC06695OtherGROUP PTAN
VA010279364OtherVIRIGINIA PREMIER
2166960OtherUNITEDHEALTHCARE
VA010279364Medicaid
4382553OtherAETNA
10012961OtherOPTIMA
247341OtherANTHEM
445589OtherSOUTHERN HEALTH
198076OtherANTHEM
445589OtherSOUTHERN HEALTH