-- Wissam Edward Nadra --
M.D. | Pediatrics | Male
-- Wissam Edward Nadra --, M.D. is a Denver, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of -- Wissam Edward Nadra -- is
275 N. Hwy 16. Suite: 103, Lakeshore Pediatric Center, Denver, North Carolina - 28037. He can be contacted on phone at
704-489-8401 and fax number 704-489-8404.
-- Wissam Edward Nadra -- is a sole proprietor of his business.
NPI number (Unique professional ID) for -- Wissam Edward Nadra -- is
1154318350 which was assigned by NPPES on 03 Oct, 2005 and it was last updated on 07 Mar, 2023.
-- Wissam Edward Nadra -- license number is
2000-00103 for Pediatrics (208000000X) in North Carolina.
-- Wissam Edward Nadra -- is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
-- Wissam Edward Nadra -- basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | -- Wissam Edward Nadra -- |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
-- Wissam Edward Nadra -- address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 275 N. Hwy 16. Suite: 103, Lakeshore Pediatric Center
Denver, NC, 28037
United States |
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| Phone Number : | 704-489-8401 |
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| Fax Number : | 704-489-8404 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1154318350 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Oct, 2005 |
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| Last Updated On : | 07 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for -- Wissam Edward Nadra -- are as mentioned. Primary taxonomy code for -- Wissam Edward Nadra --, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 2000-00103 | NC |
| 208000000X | Pediatrics | No | A67393 | CA |
| 208000000X | Pediatrics | No | 27533 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of -- Wissam Edward Nadra -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 5950140 | MEDICAID | NC | |
| 89126ER | MEDICAID | NC | |
| H11781 | MEDICARE UPIN | NC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Lakeshore Pediatric Center, P.o. Box 1470
Denver, NC, 28037
United States |
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| Phone Number : | 704-489-8401 |
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| Fax Number : | 704-489-8404 |
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Business Location:
Patients can refer following map for directions to
-- Wissam Edward Nadra -- practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.