Provider Demographics
NPI:1538208020
Name:CORIATY, NABIL T (MD)
Entity type:Individual
Prefix:
First Name:NABIL
Middle Name:T
Last Name:CORIATY
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 1:1 LAS OLAS CIR
Mailing Address - Street 2:APT 1517
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-1604
Mailing Address - Country:US
Mailing Address - Phone:508-540-7460
Mailing Address - Fax:
Practice Address - Street 1:395 EDGEWATER DR W
Practice Address - Street 2:
Practice Address - City:EAST FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02536-7170
Practice Address - Country:US
Practice Address - Phone:508-540-7460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA33539207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology