Gathaiya, Nicola W

Gathaiya, Nicola W is an individual health care provider with primary practice located at 960 E. Walnut Lawn Suite 201, Springfield MO 65807. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Gathaiya, Nicola W can be contacted via phone (417) 269-4450.

Contact Information

Primary practice address
960 E. Walnut Lawn Suite 201 Springfield MO 65807
Phone: (417) 269-4450
Fax: (417) 269-8333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 51914 Minnesota
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 2013003418 Missouri

Profile Details

NPI number 1154513752
LBN Legal business name Gathaiya, Nicola W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2007
Last updated Mar 7th, 2013 - 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 1154513752 NPPES
Minnesota MEDICAID ENROLLED
Minnesota Other P00864005
Minnesota MEDICAID ENROLLED

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