Individual
MR. ALLAN T NASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 W 4TH ST, BLDING B, MADERA, CA 93637-4474
(559) 662-2705
(559) 673-1588
Mailing address
1111 W 4TH ST, BLDING B, MADERA, CA 93637-4474
(559) 662-2705
(559) 673-1588
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A61181
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699004044
—
CA
05
—
GR0068140
—
CA
05
—
LAB13493F
—
CA
Enumeration date
08/09/2006
Last updated
03/22/2011
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