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NPI Code Detail

MEDICARE: MOHTASHIM NAEEM MD

MEDICARE:   MOHTASHIM  NAEEM  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
1207ZP0101XAnatomic Pathology Physician22160WV
2207ZP0105XClinical Pathology/Laboratory Medicine Physician22160WV
3207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianME108452FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00341662OTHERRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1932117710
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHTASHIM NAEEM MD
Provider Business Mailing Address
First Line : 401 NW 42ND AVE
Second Line :
City : PLANTATION
State : FL
Zip : 33317-2835
Country : US
Telephone Number : 954-513-6655
Fax Number :
Provider Business Practice Location Address
First Line : 401 NW 42ND AVE
Second Line :
City : PLANTATION
State : FL
Zip : 33317-2835
Country : US
Telephone Number : 954-513-6655
Fax Number : 954-513-6451
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 11/29/2018

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