Provider Demographics
NPI:1376302232
Name:LOUIS, MOHAB NASHAT (DDS)
Entity Type:Individual
Prefix:DR
First Name:MOHAB
Middle Name:NASHAT
Last Name:LOUIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 COMPASS
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-1155
Mailing Address - Country:US
Mailing Address - Phone:949-573-6362
Mailing Address - Fax:
Practice Address - Street 1:139 COMPASS
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-1155
Practice Address - Country:US
Practice Address - Phone:949-573-6362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program