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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WISSAM EDWARD NADRA, M.D.

Active

WISSAM EDWARD NADRA, M.D. is a Pediatrics healthcare provider located in DENVER, North Carolina. NPI 1154318350 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · DENVER, NC

Registration Details

NPI Number
1154318350
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2005 (20.823656792783 yrs)
Last Updated
Mar 7, 2023
Licenses
2000-00103 (NC)
A67393 (CA)
27533 (AZ)

Practice Information

Address
275 N. HWY 16. SUITE: 103
LAKESHORE PEDIATRIC CENTER
DENVER, NC, 28037
Browse NC providers · Browse ZIP 28037
Phone
7044898401
Fax
7044898404
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics
Additional Specialty
Pediatrics

Other Pediatrics Providers in DENVER, NC

Name Credential NPI
DR. WILLIAM M BARRETT MD 1831191402
JENNIFER LOUISE BUSHEY COLYER MD 1609814011
ANN ELIZABETH PITTONI CONDON MD 1366502452
JULISSA GRACE JOYCE MD 1285973677
JULIA RICHARDS MD 1831517168
JESSICA SWANN JONES DO 1952978215
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.