MEDICARE: EMAN M. NADA M.D.

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	207L00000X	Anesthesiology Physician	266171	MA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	266171	MA

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

General Provider Information

NPI Number	:	1487969325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMAN M. NADA M.D.

Provider Business Mailing Address
First Line	:	8 CANDLEWOOD WAY
Second Line	:
City	:	SHREWSBURY
State	:	MA
Zip	:	01545-1728
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 NICOLLS RD
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11794-0001
Country	:	US
Telephone Number	:	631-444-2976
Fax Number	:	631-638-1199

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

Provider Enumeration Date	:	08/16/2010
Last Update Date	:	04/19/2026

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