Provider Demographics
NPI:1417704883
Name:UDDIN, NASER (PHD, NRCC)
Entity type:Individual
Prefix:
First Name:NASER
Middle Name:
Last Name:UDDIN
Suffix:
Gender:M
Credentials:PHD, NRCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1448 S ROLLING RD STE 218
Mailing Address - Street 2:
Mailing Address - City:HALETHORPE
Mailing Address - State:MD
Mailing Address - Zip Code:21227-3831
Mailing Address - Country:US
Mailing Address - Phone:443-875-5198
Mailing Address - Fax:
Practice Address - Street 1:1448 S ROLLING RD STE 218
Practice Address - Street 2:
Practice Address - City:HALETHORPE
Practice Address - State:MD
Practice Address - Zip Code:21227-3831
Practice Address - Country:US
Practice Address - Phone:443-875-5198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD5015247ZC0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician