Provider Demographics
NPI:1902877830
Name:NASHED, RAFAT S (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFAT
Middle Name:S
Last Name:NASHED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 8TH AVE W STE 101
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-4737
Mailing Address - Country:US
Mailing Address - Phone:941-776-4000
Mailing Address - Fax:941-845-4963
Practice Address - Street 1:300 RIVERSIDE DR E STE 1500
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1031
Practice Address - Country:US
Practice Address - Phone:941-741-3338
Practice Address - Fax:941-714-7484
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME109000207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO207770918Medicaid
FL004218800Medicaid
IL635050Medicare PIN
FL004218800Medicaid
FLFJ355ZMedicare PIN
MOMA1183001Medicare PIN
ILK52457Medicare PIN
MO980000001Medicare PIN
MO207770918Medicaid