Individual
NADER B TADROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
5680
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142072
UCARE #
ND
05
—
15889
—
ND
01
—
1800055
MEDICA #
ND
01
—
1800064
MEDICA #
ND
01
—
26288
NDBS #
ND
01
—
48602TA
MNBS #
ND
05
—
579288600
—
ND
01
—
915459
AMERICA'S PPO/ARAZ #
ND
01
—
DA9011015595
PREFERRED ONE #
ND
01
—
HP25787
HEALTHPARTNERS #
ND
01
—
ND200067
LHS #
ND
Enumeration date
07/10/2006
Last updated
07/09/2007
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