Provider Demographics
NPI:1780865329
Name:NAGIB, NANCY DIA (MD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:DIA
Last Name:NAGIB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-2521
Mailing Address - Fax:717-260-3330
Practice Address - Street 1:2003 SPRINGWOOD RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4836
Practice Address - Country:US
Practice Address - Phone:717-851-2521
Practice Address - Fax:717-260-3330
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD433768207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA212419OtherJOHNS HOPKINS
PA120277OtherGEISINGER HEALTH PLAN
PA9766164OtherAETNA
PA102104929Medicaid
PA239677OtherUNISON-WMG
PA20078628OtherAMERIHEALTH MERCY-WMG
PA2030934OtherHIGHMARK BLUE SHIELD
PA50077196OtherCAPITAL BLUE CROSS-WMG
MD929832OtherCAREFIRST MD BCBS
PAP009299OtherGATEWAY-WMG
MD929832OtherCAREFIRST MD BCBS
PAP009299OtherGATEWAY-WMG
PAP00709143Medicare PIN