Provider Demographics
NPI:1477540953
Name:NAHAS, OSAMA B (MD)
Entity Type:Individual
Prefix:DR
First Name:OSAMA
Middle Name:B
Last Name:NAHAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 W TRENTON RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-5070
Mailing Address - Country:US
Mailing Address - Phone:956-683-7473
Mailing Address - Fax:956-683-1900
Practice Address - Street 1:2505 W TRENTON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-5070
Practice Address - Country:US
Practice Address - Phone:956-683-7473
Practice Address - Fax:956-683-1900
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9233207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0083BQMedicare ID - Type Unspecified
TXF70961Medicare UPIN