Provider Demographics
NPI:1427821545
Name:NABILA LLC
Entity type:Organization
Organization Name:NABILA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMRAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WASEEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-858-0656
Mailing Address - Street 1:371 HOES LANE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-4143
Mailing Address - Country:US
Mailing Address - Phone:732-858-0656
Mailing Address - Fax:
Practice Address - Street 1:371 HOES LANE
Practice Address - Street 2:SUITE 200
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-4143
Practice Address - Country:US
Practice Address - Phone:732-858-0656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty