-- 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
Provider Name :-- Wissam Edward Nadra --
Credential :M.D.
Gender :Male
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
Phone Number :704-489-8401
Fax Number :704-489-8404
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
NPI Entity Type : Individual
First Enrolment Date : 03 Oct, 2005
Last Updated On : 07 Mar, 2023
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 SpecialityPrimaryLicense No.State
208000000XPediatricsYes2000-00103NC
208000000XPediatricsNoA67393CA
208000000XPediatricsNo27533AZ
Legacy Identifiers:
Other legacy medical identifiers of -- Wissam Edward Nadra -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
5950140MEDICAIDNC
89126ERMEDICAIDNC
H11781MEDICARE UPINNC
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
Phone Number :704-489-8401
Fax Number :704-489-8404
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.