Provider Demographics
NPI:1568281251
Name:NASEEM, NAGEH N
Entity type:Individual
Prefix:
First Name:NAGEH
Middle Name:N
Last Name:NASEEM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1218 SHACKLETON RD
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-5317
Mailing Address - Country:US
Mailing Address - Phone:919-816-5834
Mailing Address - Fax:
Practice Address - Street 1:1218 SHACKLETON RD
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-5317
Practice Address - Country:US
Practice Address - Phone:919-816-5834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-09
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHJK5786343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)