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Contact Information

GAMAL ABOUL NASR, MD
7525 E BROADWAY RD
STE 2
MESA, AZ85208-1154
 Phone: 480-981-9800
 Fax: 480-985-9465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GAMAL ABOUL NASR · (Male)

NPI # 1104850288
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 24220
  • AZ Medicaid 401480
  • AZ Other AZ089184D BCBS
Hospital affiliation(s)
  • BANNER BAYWOOD MEDICAL CENTER - (Acute Care)
    6644 EAST BAYWOOD AVENUE
    MESA, AZ 85206
  • BANNER HEART HOSPITAL - (Acute Care)
    6750 EAST BAYWOOD AVENUE
    MESA, AZ 85206
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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