Organization
NABIL KOUDSI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NABIL KOUDSI MD (OWNER)
(909) 981-3411
Entity
Organization
Contact information
Practice address
811 EAST 11TH ST #207, UPLAND, CA 91786
(909) 981-3411
(909) 946-7740
Mailing address
811 EAST 11TH ST #207, UPLAND, CA 91786
(909) 981-3411
(909) 946-7740
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A33797
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A337970
—
CA
Enumeration date
05/20/2008
Last updated
05/20/2008
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