Individual
DR. JONATHAN PISHOI NAKHLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903
(401) 793-9132
Mailing address
3450 WAYNE AVE, APT 11M, BRONX, NY 10467-2510
(919) 564-9414
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
36939
AL
207T00000X
Neurological Surgery Physician
Primary
MD16140
RI
Other
Enumeration date
07/01/2011
Last updated
05/06/2019
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