Provider Demographics
NPI:1710186291
Name:NAEEM, MUHAMMAD (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:
Last Name:NAEEM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10406 OREBANKS AVENUE
Mailing Address - Street 2:
Mailing Address - City:LAVALE
Mailing Address - State:MD
Mailing Address - Zip Code:21502
Mailing Address - Country:US
Mailing Address - Phone:301-723-1443
Mailing Address - Fax:301-723-1480
Practice Address - Street 1:625 KENT AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-3794
Practice Address - Country:US
Practice Address - Phone:301-723-4826
Practice Address - Fax:301-777-7121
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0066150207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
521246048OtherUNITED HEALTHCARE
WV3810011256Medicaid
MD413329300Medicaid
DC912420-01OtherBLUE CHOICE
MD9756058OtherAETNA
MD015816060OtherMARYLAND PHYSICIANS CARE
MDE458-0020OtherCAREFIRST BC BS MD
MD212031OtherJHHC
MDCH1651OtherTRAVELERS MEDICARE
MDCC2609Medicare PIN
MDE458-0020OtherCAREFIRST BC BS MD