Nasrallah, Fady S

Nasrallah, Fady S is an individual health care provider with primary practice located at 9888 Genesee Ave Lj 601, La Jolla CA 92037-1205. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Nasrallah, Fady S can be contacted via phone (858) 626-6353.

Contact Information

Primary practice address
9888 Genesee Ave Lj 601 La Jolla CA 92037-1205
Phone: (858) 626-6353
Fax: (858) 626-6354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 11176 North Dakota
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 11176 North Dakota
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 11176 North Dakota
Allopathic & Osteopathic Physicians / Surgery 208600000X A123254 California
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X A123254 California
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X A123254 California

Profile Details

NPI number 1871753905
LBN Legal business name Nasrallah, Fady S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2008
Last updated May 2nd, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871753905 NPPES
California MEDICAID 1871753905
California MEDICAID 10408

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