Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | SC006679 | PA |
NPI | 1033593843 |
---|---|
Provider Name | Nahad Wassel |
First Address | Las Vegas, NV 89120-7224 |
Second Address | Las Vegas, NV 89120-7224 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2015 |
Last Update Date | 22/10/2020 |