Provider Demographics
NPI:1043282783
Name:NAQIB, HADEEL ISSA (MD)
Entity type:Individual
Prefix:DR
First Name:HADEEL
Middle Name:ISSA
Last Name:NAQIB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 NORTHWOOD DR STE 201
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4303
Mailing Address - Country:US
Mailing Address - Phone:410-687-6434
Mailing Address - Fax:
Practice Address - Street 1:126 NORTHWOOD DR
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4303
Practice Address - Country:US
Practice Address - Phone:410-978-6644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0041989208000000X
PAMD-039396-Y208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD760851900Medicaid
MD760851900Medicaid