Individual
DR. NISHANT KORADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2315 MYRTLE ST STE 190, ERIE, PA 16502-4604
(814) 453-7767
(814) 454-6667
Mailing address
2315 MYRTLE ST STE 190, ERIE, PA 16502-4604
(814) 453-7767
(814) 454-6667
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD434947
PA
207RC0000X
Cardiovascular Disease Physician
MD434947
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD434947
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02987575
—
NY
05
—
1022074610001
—
PA
Enumeration date
12/12/2007
Last updated
09/30/2020
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