Healthcare Provider Details

I. General information

NPI: 1801800537
Provider Name (Legal Business Name): MEHMOODA NAEEM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8609 SECOND AVENUE SUITE 404B
SILVER SPRING MD
20910
US

IV. Provider business mailing address

8609 SECOND AVENUE SUITE 404B
SILVER SPRING MD
20910
US

V. Phone/Fax

Practice location:
  • Phone: 301-527-1650
  • Fax: 301-527-8752
Mailing address:
  • Phone: 301-527-1650
  • Fax: 301-527-8752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0064578
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: