Provider Demographics
NPI:1255582565
Name:NADER, ELI (MD)
Entity type:Individual
Prefix:DR
First Name:ELI
Middle Name:
Last Name:NADER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JIHAD
Other - Middle Name:BASSAM
Other - Last Name:NADER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1 BOSTON PL STE 2600
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108-4420
Mailing Address - Country:US
Mailing Address - Phone:774-266-0567
Mailing Address - Fax:774-209-4441
Practice Address - Street 1:1 BOSTON PL STE 2600
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-4420
Practice Address - Country:US
Practice Address - Phone:774-266-0567
Practice Address - Fax:774-209-4441
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-06
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA229201174400000X
MA2446432084P0800X, 2083A0300X, 2084P0015X
FLME1394712084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No174400000XOther Service ProvidersSpecialist
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine