# DR. NIDAL ELBARIDI

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

## Provider details

- **NPI number:** 1780821264
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 036134543 | IL | — |
| 207L00000X | Anesthesiology Physician | 261710 | MA | — |
| 207L00000X | Anesthesiology Physician | 66155-20 | WI | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 036134543 | IL | Yes |
| 225100000X | Physical Therapist | 05005794A | IN | — |

## Other

- **Enumeration date:** 01/20/2009
- **Last updated:** 01/09/2024
