Provider Demographics
NPI:1245251503
Name:OUNIS-SKALI, NADIA (MD)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:OUNIS-SKALI
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 1:5 FEDERAL ST
Mailing Address - Street 2:LAHEY DANVERS
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-5504
Mailing Address - Country:US
Mailing Address - Phone:978-774-0730
Mailing Address - Fax:
Practice Address - Street 1:5 FEDERAL ST
Practice Address - Street 2:LAHEY DANVERS
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-5504
Practice Address - Country:US
Practice Address - Phone:978-774-0730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA230223207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110075314AMedicaid
MA110075314AMedicaid