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NPI Code Detail

MEDICARE: NAILA SHEREEN M.D.

MEDICARE:   NAILA  SHEREEN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD476296PA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1417302290
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAILA SHEREEN M.D.
Provider Business Mailing Address
First Line : 450 CLARKSON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2012
Country : US
Telephone Number : 718-270-8867
Fax Number :
Provider Business Practice Location Address
First Line : 1 HOSPITAL DR
Second Line :
City : LEWISBURG
State : PA
Zip : 17837-9350
Country : US
Telephone Number : 570-522-4264
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2016
Last Update Date : 05/05/2026

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