Organization Name: | NANDIPATY MEDICAL ASSOCIATES |
NPI Number: | 1164617130 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SIVAKUMARI NANDIPATY (PRESIDENT) |
Mailing Address: | 1620 E 8th St Ste 1 Weslaco |
State: | TX US |
Postal Code: | 785965883 |
Phone Number: | 9569739445 |
Fax Number: | 9569730686 |
NPI Enumeration Date: | 09/12/2007 |
NPI Last Update Date: | 09/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | J9235 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |