Nemarugommula, Nandakishore

Nemarugommula, Nandakishore is an individual health care provider with primary practice located at 540 10Th Street Suite 140, Floresville TX 78114-3167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nemarugommula, Nandakishore can be contacted via phone (830) 393-9390.

Contact Information

Primary practice address
540 10Th Street Suite 140 Floresville TX 78114-3167
Fax: (830) 393-9399
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X N1014 Texas

Profile Details

NPI number 1114102225
LBN Legal business name Nemarugommula, Nandakishore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2008
Last updated Jun 22nd, 2011 - about 13 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 1114102225 NPPES
Texas MEDICAID 202000001

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