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NPI Code Detail

MEDICARE: DR. GEORGE T NAHASS M.D.

MEDICARE:  DR. GEORGE T NAHASS  M.D.
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
1207ND0900XDermatopathology Physician036094700IL

General Provider Information

NPI Number : 1215902986
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE T NAHASS M.D.
Provider Business Mailing Address
First Line : 2 CARLSON PKWY N STE 240
Second Line :
City : PLYMOUTH
State : MN
Zip : 55447-4485
Country : US
Telephone Number : 763-367-7110
Fax Number :
Provider Business Practice Location Address
First Line : 4573 BENES AVE
Second Line :
City : GLEN CARBON
State : IL
Zip : 64064-6293
Country : US
Telephone Number : 618-961-1950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 04/24/2024

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Directions to “ DR. GEORGE T NAHASS M.D.” Practice Location

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