Provider Demographics
NPI:1578806774
Name:NADER H CHADDA MD LLC
Entity Type:Organization
Organization Name:NADER H CHADDA MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NADER
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHADDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-742-3960
Mailing Address - Street 1:10007 TREE TOPS LAKE RD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-4769
Mailing Address - Country:US
Mailing Address - Phone:727-742-3960
Mailing Address - Fax:
Practice Address - Street 1:14100 FIVAY RD STE 330
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-7160
Practice Address - Country:US
Practice Address - Phone:727-859-7670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-05
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME104578207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHG140AMedicare PIN