MEDICARE: MEHDI H NAQUI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	MA30014	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407898927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEHDI H NAQUI MD

Provider Business Mailing Address
First Line	:	1574 RTE 130
Second Line	:
City	:	N BRUNSWICK
State	:	NJ
Zip	:	08902-3011
Country	:	US
Telephone Number	:	732-297-4100
Fax Number	:	732-422-7243

Provider Business Practice Location Address
First Line	:	1574 RT 130 N
Second Line	:
City	:	N BRUNSWICK
State	:	NJ
Zip	:	08902-3011
Country	:	US
Telephone Number	:	732-297-4100
Fax Number	:	732-422-7243

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	11/01/2007

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