Provider Demographics
NPI:1649706458
Name:NASR EL NIMER, CARLOS NEDAL (MD)
Entity type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:NEDAL
Last Name:NASR EL NIMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 N HOWARD
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803
Mailing Address - Country:US
Mailing Address - Phone:308-398-5522
Mailing Address - Fax:
Practice Address - Street 1:908 N HOWARD
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803
Practice Address - Country:US
Practice Address - Phone:308-398-5522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2021-07-12
Deactivation Date:2017-12-14
Deactivation Code:
Reactivation Date:2018-03-16
Provider Licenses
StateLicense IDTaxonomies
390200000X
NE33031207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program