Provider Demographics
NPI:1902870249
Name:NASHED, NAGY W (MD)
Entity Type:Individual
Prefix:
First Name:NAGY
Middle Name:W
Last Name:NASHED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 E LAUREL RD
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-8601
Mailing Address - Country:US
Mailing Address - Phone:606-877-3931
Mailing Address - Fax:606-877-3978
Practice Address - Street 1:310 E 9TH ST
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-1204
Practice Address - Country:US
Practice Address - Phone:606-878-6520
Practice Address - Fax:606-877-3978
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY39209207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000378003OtherANTHEM PROVIDER #
KY64099153Medicaid
KYP00325625OtherRRMCR
KY50006738OtherPASSPORT HEALTH PLAN
KYC20821OtherCUMBERLAND HEALTHCARE INC
KYC20821OtherCUMBERLAND HEALTHCARE INC
KYP00325625OtherRRMCR