Nathan B Beraha, MD
Pediatrics, Adolescent Medicine in Lincoln, Rhode Island
1700882529- Practice location
- 1 Commerce St, Pediatrics, Lincoln, RI 02865
- Phone
- 401-793-8484
- Fax
- 401-793-8481
- Last updated
- December 7, 2020
Nathan B Beraha is a Pediatrics, Adolescent Medicine based in Lincoln, RI. Nathan B Beraha practices in Lincoln, RI and has the professional credentials of MD. The NPI Number for Nathan B Beraha is 1700882529 and holds a License No. MD06656 (RI). The current practice location address for Nathan B Beraha is 1 Commerce St, Pediatrics, Lincoln, RI 02865 and can be reached out via phone at 401-793-8484 and via fax at 401-793-8481.
Provider Profile Details
- NPI Number
- 1700882529
- Provider Name
- Nathan B Beraha
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Commerce St, Pediatrics, Lincoln, RI 02865
- Phone Number
- 401-793-8484
- Fax Number
- 401-793-8481
- Primary Taxonomy
- Pediatrics, Adolescent Medicine · 2080A0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 27, 2005
- Last Update Date
- December 7, 2020
- Certification Date
- December 7, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Commerce St
Pediatrics
Lincoln, RI 02865 - City
- Lincoln
- State
- Rhode Island
- Zip
- 02865
- Phone Number
- 401-793-8484
- Fax Number
- 401-793-8481
Provider Business Mailing Address Details
- Address
- 1 Commerce St
Pediatrics
Lincoln, RI 02865-1168 - City
- Lincoln
- State
- RI
- Zip
- 02865-1168
- Phone Number
- 401-793-8484
- Fax Number
- 401-793-8481
License Information
- License Number (1)
- MD06656
- License State (1)
- RI
- Taxonomy (1)
- Pediatrics, Pediatric Cardiology · 2080P0202X
- License Number (2)
- MD06656
- License State (2)
- RI
- Taxonomy (2)
- Pediatrics, Adolescent Medicine · 2080A0000X · Primary
- License Number (3)
- 40994-020
- License State (3)
- WI
- Taxonomy (3)
- Pediatrics, Adolescent Medicine · 2080A0000X
- License Number (4)
- 204275
- License State (4)
- MA
- Taxonomy (4)
- Pediatrics, Adolescent Medicine · 2080A0000X
- License Number (5)
- 204275
- License State (5)
- MA
- Taxonomy (5)
- Pediatrics, Pediatric Cardiology · 2080P0202X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Nathan B Beraha, MD?
The NPI number of Nathan B Beraha, MD is 1700882529. It was assigned on June 27, 2005 and is currently active in the NPPES registry.
What is the specialty of Nathan B Beraha, MD?
Nathan B Beraha, MD is registered under the primary taxonomy Pediatrics, Adolescent Medicine (code 2080A0000X), licensed in RI under license number MD06656.
Where does Nathan B Beraha, MD practice?
The practice location is 1 Commerce St, Pediatrics, Lincoln, RI 02865. The office can be reached at 401-793-8484 (phone) or 401-793-8481 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700882529 directly on the NPPES registry website.