Provider Demographics
NPI:1548269244
Name:WARSAL, NABIL F (MD)
Entity type:Individual
Prefix:DR
First Name:NABIL
Middle Name:F
Last Name:WARSAL
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 1:2006 LIMESTONE RD STE 4
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-5553
Mailing Address - Country:US
Mailing Address - Phone:302-654-6245
Mailing Address - Fax:302-654-6110
Practice Address - Street 1:2006 LIMESTONE RD STE 4
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-5553
Practice Address - Country:US
Practice Address - Phone:302-654-6245
Practice Address - Fax:302-654-6110
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-15
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10000792174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE000034001Medicaid
DE050513W05Medicare UPIN