Healthcare Provider Details
I. General information
NPI: 1982543476
Provider Name (Legal Business Name): AREEBA NUSRAT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 J CLYDE MORRIS BLVD
NEWPORT NEWS VA
23601-1929
US
IV. Provider business mailing address
11500 APPERSON WAY
GERMANTOWN MD
20876-5524
US
V. Phone/Fax
- Phone: 757-612-7277
- Fax:
- Phone: 240-720-1895
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: