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WISSAM EDWARD NADRA M.D.
NPI 1154318350
Pediatrics in Denver, NC

Active since October 03, 2005
275 N. HWY 16. SUITE: 103, LAKESHORE PEDIATRIC CENTER, DENVER, NC 28037(704) 489-8401(704) 489-8404 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wissam Edward Nadra M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WISSAM EDWARD NADRA M.D. (NPI 1154318350) is an individual pediatrics provider in Denver, North Carolina, licensed in North Carolina (2000-00103) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1154318350
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameWISSAM EDWARD NADRACredential: M.D.
Location Address275 N. HWY 16. SUITE: 103, LAKESHORE PEDIATRIC CENTERDenver, NC 28037
Mailing AddressLakeshore Pediatric Center, P.o. Box 1470Denver, NC 28037 · (704) 489-8401 · Fax (704) 489-8404
Phone(704) 489-8401
Fax(704) 489-8404
Sole ProprietorNo
Enumeration DateOctober 3, 2005
Last NPPES UpdateMarch 7, 2023
✔ NPI 1154318350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NC · 2000-00103✔ Licensed in CA · A67393✔ Licensed in AZ · 27533
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
275 N. HWY 16. SUITE: 103, Denver, NC 28037
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Other Identifiers 2

Medicaid89126ERNC
Medicaid5950140NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wissam Nadra's NPI number?

The NPI number for Wissam Nadra is 1154318350. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Wissam Nadra located?

Wissam Nadra practices at 275 N. Hwy 16. Suite: 103 Lakeshore Pediatric Center, Denver, NC 28037. The listed phone number is (704) 489-8401.

What is Wissam Nadra's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Wissam Nadra accept?

Health plans from Blue Cross and Blue Shield of NC list Wissam Nadra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wissam Nadra was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.