Provider Demographics
NPI:1427084805
Name:NAHHAS, GEORGE TOUFIC (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:TOUFIC
Last Name:NAHHAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2881 MONROE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-3475
Mailing Address - Country:US
Mailing Address - Phone:313-562-3232
Mailing Address - Fax:313-563-3330
Practice Address - Street 1:2881 MONROE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2847
Practice Address - Country:US
Practice Address - Phone:313-562-3232
Practice Address - Fax:313-563-3330
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301058668207RC0000X, 207RI0011X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI060053916OtherMEDICARE RR
MIP94852OtherBLUECARENETWORK
MI0Q26305004OtherBLUECROSSBLUESHIELD OF MI
MI3470691Medicaid
MIF50551Medicare UPIN
MIP94852OtherBLUECARENETWORK