Provider Demographics
NPI:1013352103
Name:AL BEER, RAAED ALI
Entity Type:Individual
Prefix:MR
First Name:RAAED
Middle Name:ALI
Last Name:AL BEER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7951 CORSHAM CT
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-8671
Mailing Address - Country:US
Mailing Address - Phone:301-433-4679
Mailing Address - Fax:
Practice Address - Street 1:7951 CORSHAM CT
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-8671
Practice Address - Country:US
Practice Address - Phone:301-433-4679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-03
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376K00000X163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse