Healthcare Provider Details

I. General information

NPI: 1407886898
Provider Name (Legal Business Name): GERMAN L NERI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: GERMAN L NERI M.D.

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 12/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14601 DETROIT AVE STE 730
LAKEWOOD OH
44107-4251
US

IV. Provider business mailing address

14601 DETROIT AVE STE 730
LAKEWOOD OH
44107-4251
US

V. Phone/Fax

Practice location:
  • Phone: 216-226-3577
  • Fax: 216-226-3599
Mailing address:
  • Phone: 216-226-3577
  • Fax: 216-226-3599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35-032276
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: