Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | G46203 | CA |
NPI | 1073588737 |
---|---|
Provider Name | Hugh Shang Nasr |
First Address | Palm Springs, CA 92262 |
Second Address | Palm Springs, CA 92262 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 22/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G462030 | (05) | CA |
A89830 | (02) |