| Nandigam Neurology, Llc | |
|
20 Medical Campus Dr Nw Ste 202 Supply NC 28462-4094 | |
| (910) 755-5565 | |
| (877) 876-2357 |
| Full Name | Nandigam Neurology, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 20 Medical Campus Dr Nw Ste 202, Supply, North Carolina |
| Authorized Official Name and Position | April H. Nandigam (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6156670031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nandigam Neurology, Llc Po Box 11498 Murfreesboro TN 37129-0030 Ph: (615) 667-0031 | Nandigam Neurology, Llc 20 Medical Campus Dr Nw Ste 202 Supply NC 28462-4094 Ph: (910) 755-5565 |
| NPI Number | 1518574706 |
|---|---|
| Provider Enumeration Date | 09/30/2020 |
| Last Update Date | 12/04/2020 |
| Certification Date | 12/04/2020 |
| Medicare PECOS PAC ID | 6709290208 |
|---|---|
| Medicare Enrollment ID | O20210125000940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518574706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Ram Narayan Kaveer Nandigam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881856078 PECOS PAC ID: 9335303569 Enrollment ID: I20170123001998 |
| Provider Name | April H Nandigam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043733728 PECOS PAC ID: 1850639022 Enrollment ID: I20190213001868 |
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