DR. TEDDY SUTARDJI NAGARIA MD PHD NPI 1881243806

NPI Information

NPI: 1881243806
Provider Name: DR. TEDDY SUTARDJI NAGARIA, MD, PHD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
1515 HOLCOMBE BLVD UNIT 85
HOUSTON, TX
ZIP 77030
Phone: (713) 792-3108
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DR. Teddy Sutardji Nagaria, MD, PHD is a student in an organized health care education training program in Houston, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Teddy Sutardji Nagaria, MD, PHD NPI is 1881243806. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1515 HOLCOMBE BLVD UNIT 85
HOUSTON, TX
ZIP 77030-000
Phone: (713) 792-3108
Fax: (713) 745-0789

The enumeration date for this NPI number is 9/11/2019 and was last updated on 9/11/2019.

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
1	390200000X	Student in an Organized Health Care Education/Training Program				Yes

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: 11/14/2023

NPI Synchronization or Removal

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