Provider Demographics
NPI:1306003579
Name:NADER, MATHIEU (MD)
Entity Type:Individual
Prefix:
First Name:MATHIEU
Middle Name:
Last Name:NADER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 INDIAN LN
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35010-3428
Mailing Address - Country:US
Mailing Address - Phone:318-470-8646
Mailing Address - Fax:
Practice Address - Street 1:59 ALISON DR
Practice Address - Street 2:SUITE 1
Practice Address - City:ALEXANDER CITY
Practice Address - State:AL
Practice Address - Zip Code:35010-4470
Practice Address - Country:US
Practice Address - Phone:256-329-2938
Practice Address - Fax:256-234-3021
Is Sole Proprietor?:No
Enumeration Date:2008-05-16
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL325892085R0204X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology