Basic Information
Provider Information
NPI: 1588013411
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NASHAD
FirstName: HILANA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 2530
Address2:  
City: DAVIDSON
State: NC
PostalCode: 280362530
CountryCode: US
TelephoneNumber: 7049975525
FaxNumber: 7049975531
Practice Location
Address1: 557 BROOKDALE DR
Address2:  
City: STATESVILLE
State: NC
PostalCode: 286774107
CountryCode: US
TelephoneNumber: 7048735661
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/10/2016
LastUpdateDate: 12/15/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/15/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X2020-01150NCY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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