Provider Demographics
NPI:1811512148
Name:NASHED, BOLA (MD)
Entity type:Individual
Prefix:DR
First Name:BOLA
Middle Name:
Last Name:NASHED
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 1:3600 FORBES AVENUE
Mailing Address - Street 2:FORBES TOWER - PLAZA LEVEL SUITE 140
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:313-343-7774
Mailing Address - Fax:313-343-8747
Practice Address - Street 1:3471 FIFTH AVENUE
Practice Address - Street 2:KAUFMANN MEDICAL BUILDING SUITE 500
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-802-8615
Practice Address - Fax:313-343-8747
Is Sole Proprietor?:No
Enumeration Date:2020-06-12
Last Update Date:2023-06-21
Deactivation Date:2022-01-18
Deactivation Code:
Reactivation Date:2022-02-02
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program