Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 35068769N | OH |
NPI | 1295812261 |
---|---|
Provider Name | Hanan Nashed |
First Address | Lakewood, OH 44107-1576 |
Second Address | Lakewood, OH 44107-1576 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |