Koudsi, Nabil
Koudsi, Nabil is an individual health care provider with primary practice located at 811 East 11Th St #207, Upland CA 91786-4872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Koudsi, Nabil can be contacted via phone (909) 981-3411.Contact Information
Primary practice address
811 East 11Th St #207
Upland CA 91786-4872
Phone: (909) 981-3411
Fax: (909) 946-7740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A33797 | California |
Profile Details
| NPI number | 1750411070 |
|---|---|
| LBN Legal business name | Koudsi, Nabil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 22nd, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750411070 | NPPES |
| California | MEDICAID | 00A337970 |
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