Healthcare Provider Details

I. General information

NPI: 1972569218
Provider Name (Legal Business Name): WILLIAM A NAHHAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 04/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 MIAMI VALLEY DR SUITE 260
CENTERVILLE OH
45459-4779
US

IV. Provider business mailing address

725 UNIVERSITY BLVD
DAYTON OH
45435-0001
US

V. Phone/Fax

Practice location:
  • Phone: 937-438-7800
  • Fax: 937-438-7811
Mailing address:
  • Phone: 937-245-7100
  • Fax: 937-245-7999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number35049176
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number35049176
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: