Provider Demographics
NPI:1265595441
Name:MORCOS, NADER (MD)
Entity type:Individual
Prefix:
First Name:NADER
Middle Name:
Last Name:MORCOS
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:PO BOX 8073
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92658-8073
Mailing Address - Country:US
Mailing Address - Phone:949-760-3025
Mailing Address - Fax:949-720-3944
Practice Address - Street 1:1605 AVOCADO AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7725
Practice Address - Country:US
Practice Address - Phone:949-760-3025
Practice Address - Fax:949-720-3944
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC384272085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A36927Medicare UPIN