Provider Demographics
NPI:1912116062
Name:NADER, SAMIR ELIAS (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMIR
Middle Name:ELIAS
Last Name:NADER
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:3501 JOHNSON ST
Mailing Address - Street 2:MEMORIAL REGIONAL HOSPITAL - DEPT CRITICAL CARE
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-5421
Mailing Address - Country:US
Mailing Address - Phone:954-265-9976
Mailing Address - Fax:954-965-5396
Practice Address - Street 1:3501 JOHNSON ST
Practice Address - Street 2:MEMORIAL REGIONAL HOSPITAL - DEPT CRITICAL CARE
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-5421
Practice Address - Country:US
Practice Address - Phone:954-265-9976
Practice Address - Fax:954-965-5396
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME95021207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001387600Medicaid