Basavaraju, Nerlige

Basavaraju, Nerlige is an individual health care provider with primary practice located at 45 Main St Suite 408, Brooklyn NY 11201-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Basavaraju, Nerlige can be contacted via phone (866) 662-4560.

Contact Information

Primary practice address
45 Main St Suite 408 Brooklyn NY 11201-1000
Phone: (866) 662-4560
Fax: (347) 328-0333
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 117319 New York

Profile Details

NPI number 1205827680
LBN Legal business name Basavaraju, Nerlige
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jun 2nd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205827680 NPPES
New York MEDICAID 02229674

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