Provider Demographics
NPI:1033593843
Name:WASSEL, NAHAD (DPM)
Entity Type:Individual
Prefix:
First Name:NAHAD
Middle Name:
Last Name:WASSEL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3662 E SUNSET RD STE 115
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-7224
Mailing Address - Country:US
Mailing Address - Phone:702-708-2436
Mailing Address - Fax:903-487-2306
Practice Address - Street 1:3662 E SUNSET RD STE 115
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-7224
Practice Address - Country:US
Practice Address - Phone:702-708-2436
Practice Address - Fax:903-487-2306
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-13
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006679213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery