Individual
MOHTASHIM NAEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 NW 42ND AVE, PLANTATION, FL 33317-2835
(954) 513-6655
(954) 513-6451
Mailing address
401 NW 42ND AVE, PLANTATION, FL 33317-2835
(954) 513-6655
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
22160
WV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME108452
FL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
22160
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2666691
—
OH
05
—
3810005839
—
WV
01
—
P00341662
RAILROAD MEDICARE
—
Enumeration date
08/04/2006
Last updated
11/29/2018
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