Individual
NAEEM PERVAIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 NEW HOPE RD, SUITE 1, PRINCETON, WV 24740-2273
(304) 425-1522
(304) 487-9447
Mailing address
608 NEW HOPE RD, SUITE 1, PRINCETON, WV 24740-2273
(304) 425-1522
(304) 487-9447
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
11606
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001720055
BCBS
—
05
—
0130715000
—
WV
Enumeration date
04/21/2006
Last updated
07/01/2013
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