Provider Demographics
NPI:1407822935
Name:NADEL, KEVIN ALAN (MD)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:ALAN
Last Name:NADEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7301 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1988
Mailing Address - Country:US
Mailing Address - Phone:818-264-3344
Mailing Address - Fax:818-264-3433
Practice Address - Street 1:7301 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1904
Practice Address - Country:US
Practice Address - Phone:818-264-3344
Practice Address - Fax:818-264-3433
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2021-06-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA89739207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA89739AMedicare ID - Type UnspecifiedPPIN
CAI29519Medicare UPIN