Provider Demographics
NPI:1376519819
Name:NAGY, MOHAMMAD NAFEES (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:NAFEES
Last Name:NAGY
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 1:3006 S MARYLAND PKWY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-2229
Mailing Address - Country:US
Mailing Address - Phone:702-735-7154
Mailing Address - Fax:702-735-7153
Practice Address - Street 1:3006 S MARYLAND PKWY
Practice Address - Street 2:SUITE 205
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2229
Practice Address - Country:US
Practice Address - Phone:702-735-7154
Practice Address - Fax:702-735-7153
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2791207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV0020-02358Medicaid
NV0002002358Medicaid
E01216Medicare UPIN
NVE01216Medicare UPIN
NV0002002358Medicaid
NV0020-02358Medicaid