# DR. JOHN A NAHRE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710986856
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 01024379A | IN | — |
| 208D00000X | General Practice Physician | 01024379A | IN | Yes |

## Other

- **Enumeration date:** 07/20/2005
- **Last updated:** 07/25/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000082492 | BLUE CROSS/BLUE SHIELD | IN |
| 05 | — | 100347460A | — | IN |