Beraha, Nathan B

Beraha, Nathan B is an individual health care provider with primary practice located at 1 Commerce St Pediatrics, Lincoln RI 02865. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Beraha, Nathan B can be contacted via phone (401) 793-8484.

Contact Information

Primary practice address
1 Commerce St Pediatrics Lincoln RI 02865
Phone: (401) 793-8484
Fax: (401) 793-8481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X MD06656 Rhode Island
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD06656 Rhode Island
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 40994-020 Wisconsin
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 204275 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 204275 Massachusetts

Profile Details

NPI number 1700882529
LBN Legal business name Beraha, Nathan B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Dec 7th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700882529 NPPES
Massachusetts MEDICAID 2005484
Massachusetts MEDICAID 7002149

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