Individual
DR. NIZAR ABDELFATTAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E CALIFORNIA BLVD, PASADENA, CA 91105-3205
(626) 269-5371
(626) 577-2100
Mailing address
130 BLUE CREST LN, DURHAM, NC 27705-3685
(202) 617-8422
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
260919
NC
207W00000X
Ophthalmology Physician
Primary
78979
CT
207WX0107X
Retina Specialist (Ophthalmology) Physician
PENDING
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2019
Last updated
12/03/2024
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