Provider Demographics
NPI:1609893452
Name:EWAIDA, NADER HELMY (MD)
Entity Type:Individual
Prefix:
First Name:NADER
Middle Name:HELMY
Last Name:EWAIDA
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 1:7801 MID CITIES BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-4699
Mailing Address - Country:US
Mailing Address - Phone:817-770-0933
Mailing Address - Fax:419-956-0050
Practice Address - Street 1:7801 MID CITIES BLVD STE 300
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76182-4699
Practice Address - Country:US
Practice Address - Phone:817-770-0933
Practice Address - Fax:419-956-0050
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2023-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ9154207R00000X, 207RS0012X
WI51979208M00000X, 207RS0012X
IL036139502207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI35354800Medicaid
WIP00654380OtherRR MEDICARE
WI01994-0368Medicare PIN
NJI57371Medicare UPIN
NJ118598SNYMedicare PIN
WIP00654380OtherRR MEDICARE
NJ118598UXWMedicare PIN
118598Medicare PIN