Basic Information
| Provider Information | |||||||||
| NPI: | 1720304207 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAWIRIS | ||||||||
| FirstName: | NADER | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 224 N FAIR OAKS AVE STE 300 | ||||||||
| Address2: | |||||||||
| City: | PASADENA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 911033618 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9099852211 | ||||||||
| FaxNumber: | 9099852244 | ||||||||
| Practice Location | |||||||||
| Address1: | 10565 CIVIC CENTER DR BLDG STE 165 | ||||||||
| Address2: | |||||||||
| City: | RANCHO CUCAMONGA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917303853 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9099852211 | ||||||||
| FaxNumber: | 9099852244 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/09/2010 | ||||||||
| LastUpdateDate: | 10/01/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P2900X | 131225 | CA | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Pain Medicine | 2084P2900X | A131225 | CA | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Pain Medicine | 2084P2900X | ME146163 | FL | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Pain Medicine | 208VP0000X | 120906 | FL | N | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine | 208VP0000X | ME120906 | FL | N | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine | 208VP0014X | A131225 | CA | N | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine | 208VP0014X | ME120906 | FL | N | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine | 208VP0014X | ME146163 | FL | N | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine | 208VP0000X | A131225 | CA | Y | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine |
No ID Information.