Gowda, Nagaraj

Gowda, Nagaraj is an individual health care provider with primary practice located at 500 University Blvd Suite 102, Jupiter FL 33458. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gowda, Nagaraj can be contacted via phone (561) 622-6610.

Contact Information

Primary practice address
500 University Blvd Suite 102 Jupiter FL 33458
Fax: (561) 622-6091
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0071424 Florida

Profile Details

NPI number 1336110402
LBN Legal business name Gowda, Nagaraj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Sep 30th, 2009 - about 15 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 1336110402 NPPES
Florida MEDICAID 250556800

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