Provider Demographics
NPI:1568687382
Name:NASHED, MEDHAT N (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:MEDHAT
Middle Name:N
Last Name:NASHED
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 E FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-2307
Mailing Address - Country:US
Mailing Address - Phone:626-294-9119
Mailing Address - Fax:626-294-9241
Practice Address - Street 1:45 E FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-2307
Practice Address - Country:US
Practice Address - Phone:626-294-9119
Practice Address - Fax:626-294-9241
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA463021223P0221X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics