Individual
DR. NABIL KADDIS BISSADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 N.E. 10TH STREET, SUITE 5400, OKLAHOMA CITY, OK 73104
(405) 271-6452
Mailing address
920 STANTON L. YOUNG BOULEVARD, WP3150, OKLAHOMA CITY, OK 73104
(405) 271-6900
(405) 271-3118
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
29007
OK
208800000X
Urology Physician
R-2121
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148787001
—
AR
Enumeration date
10/13/2006
Last updated
06/13/2013
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