Healthcare Provider Details

I. General information

NPI: 1952680662
Provider Name (Legal Business Name): GERMAN L NERI MD FACP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2011
Last Update Date: 07/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14601 DETROIT AVE SUITE 730
LAKEWOOD OH
44107-4251
US

IV. Provider business mailing address

PO BOX 92961
CLEVELAND OH
44194-2961
US

V. Phone/Fax

Practice location:
  • Phone: 216-226-3577
  • Fax: 216-226-3599
Mailing address:
  • Phone: 440-808-3700
  • Fax: 440-808-3675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GERMAN L NERI
Title or Position: OWNER
Credential: MD
Phone: 216-226-3577