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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033231220 | NPPES |
| Indiana | Other | 000000990789 | ANTHEM PIN |
| Indiana | MEDICAID | 201175570 | ANTHEM PIN |
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