Provider Demographics
NPI:1154405595
Name:CAHAN, NINA GALE (MD)
Entity type:Individual
Prefix:DR
First Name:NINA
Middle Name:GALE
Last Name:CAHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:848 S DENTON TAP RD
Mailing Address - Street 2:100
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019
Mailing Address - Country:US
Mailing Address - Phone:972-393-5559
Mailing Address - Fax:972-393-5479
Practice Address - Street 1:848 S DENTON TAP RD
Practice Address - Street 2:100
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019
Practice Address - Country:US
Practice Address - Phone:972-393-5559
Practice Address - Fax:972-393-5479
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2011-12-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG9149207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156260501Medicaid
B19732Medicare UPIN
TX8A2342Medicare ID - Type Unspecified