Provider Demographics
NPI:1194996595
Name:AMEER, XAVIER SHAZAD (MD)
Entity type:Individual
Prefix:
First Name:XAVIER
Middle Name:SHAZAD
Last Name:AMEER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 LENOX AVE
Mailing Address - Street 2:MLK 4413
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-1802
Mailing Address - Country:US
Mailing Address - Phone:347-628-1177
Mailing Address - Fax:212-939-1911
Practice Address - Street 1:506 LENOX AVE
Practice Address - Street 2:MLK 4413
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1802
Practice Address - Country:US
Practice Address - Phone:347-628-1177
Practice Address - Fax:212-939-1911
Is Sole Proprietor?:No
Enumeration Date:2008-03-13
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY2693002080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program