Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 85166 | GA |
NPI | 1215349964 |
---|---|
Provider Name | Dr. Bassel Nazha |
First Address | Atlanta, GA 30308-2263 |
Second Address | Atlanta, GA 30308-2263 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2014 |
Last Update Date | 12/05/2020 |