Provider Demographics
NPI:1477553493
Name:NAHHAS, DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:NAHHAS
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 1:404 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-2868
Mailing Address - Country:US
Mailing Address - Phone:724-434-1650
Mailing Address - Fax:724-434-1659
Practice Address - Street 1:404 W MAIN ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2868
Practice Address - Country:US
Practice Address - Phone:724-434-1650
Practice Address - Fax:724-434-1659
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-01
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD067767207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PW145969OtherMEDPLUS
PA208372OtherUPMC
PA231560OtherHEALTH AMERICA
PA1506927OtherGATEWAY
PA0017532860001Medicaid
PA597912OtherHIGHMARK
PA231560OtherHEALTH AMERICA
PA0017532860001Medicaid