Provider Demographics
NPI:1689203382
Name:ESMAEILI, NEHA ZAER (MD)
Entity type:Individual
Prefix:
First Name:NEHA
Middle Name:ZAER
Last Name:ESMAEILI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NEHA
Other - Middle Name:FARIBORZ
Other - Last Name:ZAER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:378 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-2675
Mailing Address - Country:US
Mailing Address - Phone:508-852-8571
Mailing Address - Fax:508-535-1662
Practice Address - Street 1:378 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-2675
Practice Address - Country:US
Practice Address - Phone:508-852-8571
Practice Address - Fax:508-535-1662
Is Sole Proprietor?:No
Enumeration Date:2020-04-04
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1016305208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics