| S Nashed Pa | |
|
111 West High Street Suite 315 Elkton MD 21921 | |
| (410) 392-8770 | |
| (410) 392-2645 |
| Full Name | S Nashed Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 111 West High Street, Elkton, Maryland |
| Authorized Official Name and Position | Suzy F Nashed (OWNER) |
| Authorized Official Contact | 4103928770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S Nashed Pa 111 West High Street Suite 315 Elkton MD 21921 Ph: (410) 392-8770 | S Nashed Pa 111 West High Street Suite 315 Elkton MD 21921 Ph: (410) 392-8770 |
| NPI Number | 1407962350 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2264589985 |
|---|---|
| Medicare Enrollment ID | O20090416000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407962350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D0060959 (Maryland) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C10007499 (Delaware) | Secondary |
| Provider Name | Suzy Nashed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629062492 PECOS PAC ID: 8426050766 Enrollment ID: I20090416000131 |
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