MEDICARE: NADER H CHADDA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician	ME104578	FL
2	207RC0000X	Cardiovascular Disease Physician	ME104578	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	525541	OTHER	FL	WELLCARE
3	1292562	OTHER	FL	GHI
4	PRO8299	OTHER	FL	QHP - MAIN LOCATION
5	332698	OTHER	FL	AVMED
6	P00900992	OTHER	FL	RAILROAD MCR ATTACHED TO GRP# CH7540
7	145Y0	OTHER	FL	BCBS OF FL
8	PRO8299	OTHER	FL	QHP - SECONDARY LOCATION
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225215064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADER H CHADDA MD

Provider Business Mailing Address
First Line	:	PO BOX 5368
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34674-5368
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14100 FIVAY RD STE 330
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34667-7160
Country	:	US
Telephone Number	:	727-859-7670
Fax Number	:	727-491-5180

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2008
Last Update Date	:	04/20/2022

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Directions to “ NADER H CHADDA MD” Practice Location

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