Provider Demographics
NPI:1316976194
Name:SHARIEFF, NASEEM BANU (MD)
Entity type:Individual
Prefix:DR
First Name:NASEEM
Middle Name:BANU
Last Name:SHARIEFF
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 1:7525 GREENWAY CENTER DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3509
Mailing Address - Country:US
Mailing Address - Phone:301-313-0425
Mailing Address - Fax:301-313-0435
Practice Address - Street 1:7525 GREENWAY CENTER DR
Practice Address - Street 2:SUITE 105
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3509
Practice Address - Country:US
Practice Address - Phone:301-313-0425
Practice Address - Fax:301-313-0435
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD30002208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD491968Medicare ID - Type Unspecified
MDB15573Medicare UPIN