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Individual

ROBERT A NAHOURAII

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
70 LAKE CONCORD RD NE, CONCORD, NC 28025-3057
(704) 355-9794
Mailing address
5522 SELSEY PL, CHARLOTTE, NC 28277-0514
(704) 618-5362

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
52034
SC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
35174
NC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
52034
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8962907
NC
05
N35174
SC
Enumeration date
05/13/2006
Last updated
12/06/2023
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