MEDICARE: NADER Y. ABDELSAYED, M.D., PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1841536901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NADER Y. ABDELSAYED, M.D., PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	1815 E LAKE MEAD BLVD
Second Line	:	STE 215
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-7187
Country	:	US
Telephone Number	:	702-818-1919
Fax Number	:

Provider Business Practice Location Address
First Line	:	1815 E LAKE MEAD BLVD
Second Line	:	STE 215
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-7187
Country	:	US
Telephone Number	:	702-818-1919
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	NADER Y ABDELSAYED
Credential	:	M.D.
Telephone Number	:	702-818-1919

Provider Enumeration Date	:	12/18/2012
Last Update Date	:	12/18/2012

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