Nagabhushana Nimmagadda, is a
Pathology - Anatomic Pathology & Clinical Pathology physician based in Melville, New York. Nagabhushana Nimmagadda is licensed to practice in New York (license number 149316) and his current practice location is 80 Marcus Dr, Provider Enrollment Department, Melville, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 391-7887.
NPI number for Nagabhushana Nimmagadda is 1750467494 and his current mailing address is 1900 Hempstead Turnpike, Suite 500, East Meadow, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750467494.
Physician's Profile
| Full Name | Nagabhushana Nimmagadda |
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| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 80 Marcus Dr, Melville, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750467494
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 12/01/2015
Medical Identifiers
Medical identifiers for Nagabhushana Nimmagadda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750467494 | NPI | - | NPPES |
| 00763502 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 149316 (New York) | 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. Nagabhushana Nimmagadda 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 |
|---|
Nagabhushana Nimmagadda,
1900 Hempstead Turnpike, Suite 500,
East Meadow, NY 11554
Ph: (516) 542-1090 | Nagabhushana Nimmagadda,
80 Marcus Dr, Provider Enrollment Department,
Melville, NY 11747-4230
Ph: (631) 391-7887 |
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