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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700882529 | NPPES |
| Massachusetts | MEDICAID | 2005484 | |
| Massachusetts | MEDICAID | 7002149 |
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