Doctor Name: | NAEEM POURSHARIF |
NPI Number: | 1417161209 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 0102202556 |
Business Practice Address: | 7600 Carroll Ave Anes: Adult Cardiothoracic Anesthesiology Takoma Park, MD - 209126367 |
Business Phone Number: | 3018917600 |
Business Fax Number: | |
Mailing Address: | 7490 New Technology Way, Anes: Adult Cardiothoracic Anesthesiology FREDERICK |
State: | MD |
Postal Code: | 217038370 |
Phone Number: | 2405661647 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 11/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 0102202556 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |