Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NOURADDIN NASHAT NOURADDIN, MD, FACP
Active Sole ProprietorDR. NOURADDIN NASHAT NOURADDIN, MD, FACP is a Sports Medicine (IM) healthcare provider located in WAUWATOSA, Wisconsin. NPI 1659649010 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · WAUWATOSA, WI
Registration Details
- NPI Number
- 1659649010
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2011 (14.707323928138 yrs)
- Last Updated
- Jul 27, 2023
- Licenses
-
MD446577 (PA)01072144A (IN)73418-20 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 N MAYFAIR RD STE 520WAUWATOSA, WI, 532264216Browse WI providers · Browse ZIP 53226
- Phone
- 2627852222
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Sports Medicine (IM)
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.