Provider Demographics
NPI:1295230142
Name:ABDELSAYED, NATHAN GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:GEORGE
Last Name:ABDELSAYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 S PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3521
Mailing Address - Country:US
Mailing Address - Phone:310-850-1508
Mailing Address - Fax:
Practice Address - Street 1:800 ROSE ST # C-246
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-7001
Practice Address - Country:US
Practice Address - Phone:859-323-6162
Practice Address - Fax:859-257-7167
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-23
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA179754208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine