Provider Demographics
NPI:1083608897
Name:RALPH G NADER MD PA
Entity Type:Organization
Organization Name:RALPH G NADER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:GEORGES
Authorized Official - Last Name:NADER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-978-0834
Mailing Address - Street 1:4302 ALTON RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2891
Mailing Address - Country:US
Mailing Address - Phone:305-532-6006
Mailing Address - Fax:305-532-5991
Practice Address - Street 1:4302 ALTON RD
Practice Address - Street 2:SUITE 220
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2891
Practice Address - Country:US
Practice Address - Phone:305-532-6006
Practice Address - Fax:305-532-5991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0057955207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE52763Medicare UPIN
FL10370ZMedicare ID - Type Unspecified