Provider Demographics
NPI:1396080867
Name:OSAMA NAGA MD PA
Entity type:Organization
Organization Name:OSAMA NAGA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OSAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-452-4409
Mailing Address - Street 1:7208 LONGSPUR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79911-3090
Mailing Address - Country:US
Mailing Address - Phone:915-841-9400
Mailing Address - Fax:915-351-0320
Practice Address - Street 1:3901 N MESA ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1501
Practice Address - Country:US
Practice Address - Phone:915-351-0302
Practice Address - Fax:915-351-0320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-10
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP1370208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty