Healthcare Provider Details

I. General information

NPI: 1841306701
Provider Name (Legal Business Name): NASHEDS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 11/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 WEST HIGH STREET SUITE 311
ELKTON MD
21921
US

IV. Provider business mailing address

111 WEST HIGH STREET SUITE 311
ELKTON MD
21921
US

V. Phone/Fax

Practice location:
  • Phone: 410-392-8770
  • Fax: 410-392-2645
Mailing address:
  • Phone: 410-392-8770
  • Fax: 410-392-2645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License NumberC10004769
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License NumberD0052600
License Number StateMD

VIII. Authorized Official

Name: MAHER N NASHED
Title or Position: OWNER
Credential: MD
Phone: 410-392-8770