Provider Demographics
NPI:1407886898
Name:NERI, GERMAN L (MD)
Entity Type:Individual
Prefix:DR
First Name:GERMAN
Middle Name:L
Last Name:NERI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:GERMAN
Other - Middle Name:L
Other - Last Name:NERI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:14601 DETROIT AVE STE 730
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-4251
Mailing Address - Country:US
Mailing Address - Phone:216-226-3577
Mailing Address - Fax:216-226-3599
Practice Address - Street 1:14601 DETROIT AVE STE 730
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4251
Practice Address - Country:US
Practice Address - Phone:216-226-3577
Practice Address - Fax:216-226-3599
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-032276207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0178918Medicaid
OHP00717465OtherRAILROAD CARE
OHC0081D72Medicare PIN
OH0178918Medicaid
OHP00717465OtherRAILROAD CARE