Nafisa B Kondru, MD is a
Pediatrics physician based in Conneaut, Ohio. Nafisa B Kondru is licensed to practice in Ohio (license number 35063531) and her current practice location is 167 W Main Rd Ste D, Conneaut, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 593-5014.
NPI number for Nafisa B Kondru is 1083710974 and her current mailing address is 24701 Euclid Ave, Euclid, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083710974.
Physician's Profile
| Full Name | Nafisa B Kondru |
|---|
| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 167 W Main Rd Ste D, Conneaut, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083710974
- Provider Enumeration Date: 09/16/2006
- Last Update Date: 08/25/2011
Medical Identifiers
Medical identifiers for Nafisa B Kondru such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083710974 | NPI | - | NPPES |
| 0887349 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 35063531 (Ohio) | 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. Nafisa B Kondru 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 |
|---|
Nafisa B Kondru, MD
24701 Euclid Ave,
Euclid, OH 44117-1714
Ph: (440) 593-5014 | Nafisa B Kondru, MD
167 W Main Rd Ste D,
Conneaut, OH 44030-2057
Ph: (440) 593-5014 |
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