Hanumanthappa, Nandheesha

Hanumanthappa, Nandheesha is an individual health care provider with primary practice located at 3221 Tamiami Trl , Port Charlotte FL 33952-8002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Hanumanthappa, Nandheesha can be contacted via phone (941) 505-8720.

Contact Information

Primary practice address
3221 Tamiami Trl Port Charlotte FL 33952-8002
Phone: (941) 505-8720
Fax: (941) 505-8747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME116075 Florida

Profile Details

NPI number 1609195833
LBN Legal business name Hanumanthappa, Nandheesha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2010
Last updated Sep 5th, 2013 - about 12 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 1609195833 NPPES
Florida Other P01197128 RR MEDICARE
Florida Other 14R6Z RR MEDICARE

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