Dev S Nandamudi, MD is a
Pediatrics physician based in Fort Gratiot, Michigan. Dev S Nandamudi is licensed to practice in Michigan (license number 4301063724) and his current practice location is 3030 Commerce Dr, Fort Gratiot, Michigan. He can be reached at his office (for appointments etc.) via phone at
(810) 385-9559.
NPI number for Dev S Nandamudi is 1205802436 and his current mailing address is 3030 Commerce Dr, Fort Gratiot, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205802436.
Physician's Profile
| Full Name | Dev S Nandamudi |
|---|
| Gender | Male |
|---|
| Speciality | Pediatrics |
|---|
| Location | 3030 Commerce Dr, Fort Gratiot, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205802436
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 11/02/2020
Medical Identifiers
Medical identifiers for Dev S Nandamudi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205802436 | NPI | - | NPPES |
| 1205802436 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 4301063724 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dev S Nandamudi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dev S Nandamudi, MD
3030 Commerce Dr,
Fort Gratiot, MI 48059-3819
Ph: (810) 385-9559 | Dev S Nandamudi, MD
3030 Commerce Dr,
Fort Gratiot, MI 48059-3819
Ph: (810) 385-9559 |
Reviews and Comments