Provider Demographics
NPI:1972541001
Name:KAYAL, M NADER (MD)
Entity Type:Individual
Prefix:
First Name:M
Middle Name:NADER
Last Name:KAYAL
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 1:55 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572
Mailing Address - Country:US
Mailing Address - Phone:845-876-3094
Mailing Address - Fax:845-876-4217
Practice Address - Street 1:55 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1516
Practice Address - Country:US
Practice Address - Phone:845-876-3094
Practice Address - Fax:845-876-4217
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY132900207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00463016Medicaid
NY26A531Medicare ID - Type Unspecified
NY00463016Medicaid