MEDICARE: DR. REMI 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	207T00000X	Neurological Surgery Physician	18908	MS

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740240951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REMI NADER MD

Provider Business Mailing Address
First Line	:	1340 BROAD AVE
Second Line	:	STE. 440
City	:	GULFPORT
State	:	MS
Zip	:	39501-2404
Country	:	US
Telephone Number	:	228-867-4856
Fax Number	:	228-867-4857

Provider Business Practice Location Address
First Line	:	1340 BROAD AVE
Second Line	:	STE. 440
City	:	GULFPORT
State	:	MS
Zip	:	39501-2404
Country	:	US
Telephone Number	:	228-867-4856
Fax Number	:	228-867-4857

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

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	01/11/2012

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Directions to “ DR. REMI NADER MD” Practice Location

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