Gourineni, Nandu

Gourineni, Nandu is an individual health care provider with primary practice located at 200 Medical Pkwy Ste 110 , Lakeway TX 78738-1792. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Gourineni, Nandu can be contacted via phone (542) 724-2111.

Contact Information

Primary practice address
200 Medical Pkwy Ste 110 Lakeway TX 78738-1792
Phone: (542) 724-2111
Fax: (812) 378-8267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01072691A Indiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01072691A Indiana
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 01072691A Indiana
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X U8334 Texas

Profile Details

NPI number 1033231220
LBN Legal business name Gourineni, Nandu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jun 24th, 2024 - about 6 months 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 1033231220 NPPES
Indiana Other 000000990789 ANTHEM PIN
Indiana MEDICAID 201175570 ANTHEM PIN

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