Kikkeri, Nagaraj S

Kikkeri, Nagaraj S is an individual health care provider with primary practice located at 3865 Childress Ave Suite A, Mesquite TX 75150-2802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Kikkeri, Nagaraj S can be contacted via phone (972) 681-7246.

Contact Information

Primary practice address
3865 Childress Ave Suite A Mesquite TX 75150-2802
Phone: (972) 681-7246
Fax: (972) 681-8946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X K9584 Texas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X K9584 Texas

Profile Details

NPI number 1396745311
LBN Legal business name Kikkeri, Nagaraj S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated Oct 7th, 2016 - about 8 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 1396745311 NPPES
Texas Other 610792000 DEPT. OF LABOR
Texas Other 8R5340 DEPT. OF LABOR
Texas MEDICAID 097018807 DEPT. OF LABOR
Texas Other 8M0103 DEPT. OF LABOR
Texas Other 8K5591 DEPT. OF LABOR
Texas Other 8M0110 DEPT. OF LABOR
Texas MEDICAID 097018808 DEPT. OF LABOR

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