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NANDIGAM NEUROLOGY LLC NPI 1518574706


NPI Information

NPI: 1518574706
Provider Name: NANDIGAM NEUROLOGY, LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
20 MEDICAL CAMPUS DR NW STE 202
SUPPLY, NC
ZIP 28462
Phone: (910) 755-5565
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NANDIGAM NEUROLOGY, LLC is a neurology psychiatry neurology in Supply, NC. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NANDIGAM NEUROLOGY, LLC NPI is 1518574706. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

20 MEDICAL CAMPUS DR NW STE 202
SUPPLY, NC
ZIP 28462-094
Phone: (910) 755-5565
Fax: (877) 876-2357

The provider's authorized official is April H. Nandigam .
The authorized official title is Clinical Director and has the following contact phone number (615) 667-0031.

The enumeration date for this NPI number is 9/30/2020 and was last updated on 12/4/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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