Healthcare Provider Details

I. General information

NPI: 1053013102
Provider Name (Legal Business Name): RABIA NASEEM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER DR
LEBANON NH
03756-1000
US

IV. Provider business mailing address

1985 OCEAN AVE APT 6F
BROOKLYN NY
11230-6816
US

V. Phone/Fax

Practice location:
  • Phone: 603-653-3830
  • Fax:
Mailing address:
  • Phone: 929-451-7927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberR4851
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: