Healthcare Provider Details

I. General information

NPI: 1467431320
Provider Name (Legal Business Name): MUHAMMED S NASHER-ALNEAM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 02/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 MACCORKLE AVE SE STE A
CHARLESTON WV
25304
US

IV. Provider business mailing address

4501 MACCORKLE AVE SE STE A
CHARLESTON WV
25304
US

V. Phone/Fax

Practice location:
  • Phone: 304-925-7970
  • Fax: 304-925-7971
Mailing address:
  • Phone: 304-925-7970
  • Fax: 304-925-7971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number21191
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: