Provider Demographics
NPI:1003849035
Name:EL ZIND, NABILA HASSAN (MD)
Entity Type:Individual
Prefix:MS
First Name:NABILA
Middle Name:HASSAN
Last Name:EL ZIND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NABILA
Other - Middle Name:
Other - Last Name:ELZIND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4411 W GORE BLVD
Mailing Address - Street 2:SUITE B4
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-5977
Mailing Address - Country:US
Mailing Address - Phone:580-351-2400
Mailing Address - Fax:580-351-2414
Practice Address - Street 1:4411 W GORE BLVD
Practice Address - Street 2:SUITE B4
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-5977
Practice Address - Country:US
Practice Address - Phone:580-351-2400
Practice Address - Fax:580-351-2414
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK20520174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100017810BMedicaid
OKG15834Medicare UPIN