Individual
AMMAR F NASRALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1313 FISH HATCHERY RD, MADISON, WI 53715-1911
(608) 252-8000
(608) 283-7318
Mailing address
1313 FISH HATCHERY RD, MADISON, WI 53715-1911
(608) 252-8000
(608) 283-7318
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
53775-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700841566
—
WI
Enumeration date
04/17/2006
Last updated
10/21/2020
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