Healthcare Provider Details

I. General information

NPI: 1851353742
Provider Name (Legal Business Name): NASEER MAHMOOD RAJA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N MAIN ST
GREENVILLE PA
16125-1726
US

IV. Provider business mailing address

PO BOX 2265
YOUNGSTOWN OH
44504-0265
US

V. Phone/Fax

Practice location:
  • Phone: 724-589-6860
  • Fax: 724-589-6508
Mailing address:
  • Phone: 330-759-9350
  • Fax: 330-759-9387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD0335500L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberMD0335500L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: