| Mark K Nagrani Md Pllc | |
|
612 Palmetto St New Smyrna Beach FL 32168-7327 | |
| (386) 423-5500 | |
| (800) 813-9164 |
| Full Name | Mark K Nagrani Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 612 Palmetto St, New Smyrna Beach, Florida |
| Authorized Official Name and Position | Hart Meyrich (BUSINESS MANAGER) |
| Authorized Official Contact | 4073409039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark K Nagrani Md Pllc 612 Palmetto St New Smyrna Beach FL 32168-7327 Ph: (386) 423-5500 | Mark K Nagrani Md Pllc 612 Palmetto St New Smyrna Beach FL 32168-7327 Ph: (386) 423-5500 |
| NPI Number | 1154027852 |
|---|---|
| Provider Enumeration Date | 02/03/2023 |
| Last Update Date | 02/03/2023 |
| Medicare PECOS PAC ID | 7315304003 |
|---|---|
| Medicare Enrollment ID | O20230612002431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154027852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Mark K Nagrani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881154524 PECOS PAC ID: 6709274822 Enrollment ID: I20211022000517 |
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