Organization Active NPI

Shabnam Naseer DO, LLC

  • Infectious Disease Physician
  • Havre de Grace, MD
National Provider Identifier
1376838649
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
H0070575 Issued in MD
Legal business name
SHABNAM NASEER DO, LLC
Practice address
601 Revolution St
Suite 101
Havre de Grace, MD 21078-3319
Phone
(443) 966-2899
NPI assigned
Jun 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shabnam Naheed Naseer, D.O.
Title
Physician
Phone
(443) 966-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X H0070575 MD Primary

Addresses

Primary practice location

601 Revolution St
Suite 101
Havre de Grace, MD 21078-3319

Mailing address

2235 Greencedar Dr
Bel Air, MD 21015
Phone (443) 966-2900

National Provider Directory

National Provider Directory

Locations

601 Revolution St
Ste 101
Havre de Grace, MD 21078
Phone (410) 942-0060

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1376838649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 GREENCEDAR DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21015",
            "telephone_number": "443-966-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 REVOLUTION ST",
            "address_2": "SUITE 101",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783319",
            "telephone_number": "443-966-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHABNAM NASEER DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "NASEER",
        "authorized_official_first_name": "SHABNAM",
        "authorized_official_middle_name": "NAHEED",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "443-966-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "H0070575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.