Individual
DR. WADDAH N. NASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7221 W HEFNER RD, OKLAHOMA CITY, OK 73162-4505
(405) 470-6900
(405) 470-6901
Mailing address
7221 W HEFNER RD, OKLAHOMA CITY, OK 73162-4505
(405) 470-6900
(405) 470-6901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17880
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100039090B
—
OK
01
—
18943
OBNDD
OK
Enumeration date
07/06/2006
Last updated
09/21/2017
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