Provider Demographics
NPI:1972554756
Name:ABDELSAYED, NADER YOUSEF (MEDICAL DOCTOR)
Entity Type:Individual
Prefix:
First Name:NADER
Middle Name:YOUSEF
Last Name:ABDELSAYED
Suffix:
Gender:M
Credentials:MEDICAL DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 E. LAKE MEAD BLVD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89030
Mailing Address - Country:US
Mailing Address - Phone:702-818-1919
Mailing Address - Fax:702-399-5499
Practice Address - Street 1:1815 E. LAKE MEAD BLVD
Practice Address - Street 2:SUITE 215
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030
Practice Address - Country:US
Practice Address - Phone:702-818-1919
Practice Address - Fax:702-399-5499
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7814207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002019702Medicaid
F89550Medicare UPIN
NV35152Medicare PIN