Provider Demographics
NPI:1396064556
Name:NAWAZ, ABDUL A
Entity type:Individual
Prefix:MR
First Name:ABDUL
Middle Name:A
Last Name:NAWAZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7892 NOMAD CIR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-2363
Mailing Address - Country:US
Mailing Address - Phone:714-841-2274
Mailing Address - Fax:949-271-4600
Practice Address - Street 1:10101 SLATER AVE
Practice Address - Street 2:SUITE 123
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4714
Practice Address - Country:US
Practice Address - Phone:949-864-0738
Practice Address - Fax:949-271-4600
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-26
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care