Individual
DR. MO'ATH NASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2231 CAREW ST, FORT WAYNE, IN 46805-4713
(260) 266-7856
(260) 266-5279
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125066718
IL
207RP1001X
Pulmonary Disease Physician
Primary
01095956A
IN
207RP1001X
Pulmonary Disease Physician
55240
KY
Other
Enumeration date
07/11/2015
Last updated
09/02/2025
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