MEDICARE: DR. NIZAR ZAHI NADER 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	35-082942	OH
2	207RP1001X	Pulmonary Disease Physician	35-082942	OH

General Provider Information

NPI Number	:	1679542567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIZAR ZAHI NADER MD

Provider Business Mailing Address
First Line	:	1450 SOM CENTER RD
Second Line	:	#25
City	:	MAYFIELD HTS
State	:	OH
Zip	:	44124-2118
Country	:	US
Telephone Number	:	440-446-1423
Fax Number	:	440-446-1498

Provider Business Practice Location Address
First Line	:	12000 MCCRACKEN RD
Second Line	:	#201
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125-2964
Country	:	US
Telephone Number	:	216-663-1274
Fax Number	:	216-663-1474

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/31/2009

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