Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 036067047 | IL |
Y | 2086S0105X | Surgery of the Hand | 036067047 | IL |
NPI | 1346234754 |
---|---|
Provider Name | Dr. Nash H. Naam |
First Address | Mattoon, IL 61938-4653 |
Second Address | Effingham, IL 62401-2191 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2005 |
Last Update Date | 14/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036067047 | (05) | IL |