Healthcare Provider Details

I. General information

NPI: 1972646495
Provider Name (Legal Business Name): SOBIA NAJM MASOUD M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 04/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2940 IMMOKALEE RD SUITE 2
NAPLES FL
34110-1409
US

IV. Provider business mailing address

1735 TRIANGLE PALM TER
NAPLES FL
34119-3396
US

V. Phone/Fax

Practice location:
  • Phone: 239-598-5750
  • Fax: 239-593-1989
Mailing address:
  • Phone: 239-595-2456
  • Fax: 239-593-1989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME97959
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: