Provider Demographics
NPI:1063161602
Name:EL ZINAD, NAGLA A BASHIR
Entity type:Individual
Prefix:
First Name:NAGLA
Middle Name:A BASHIR
Last Name:EL ZINAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6340 AMERICANA DR APT 1118
Mailing Address - Street 2:
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-2249
Mailing Address - Country:US
Mailing Address - Phone:786-580-8664
Mailing Address - Fax:
Practice Address - Street 1:6340 AMERICANA DR APT 1118
Practice Address - Street 2:
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-2249
Practice Address - Country:US
Practice Address - Phone:786-580-8664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program