Doctor Name: | SHARDUL BAL NAGRE |
NPI Number: | 1467771899 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.B.B.S., MPH |
License Number: | |
Business Practice Address: | 2050 Meadowview Pkwy Kingsport, TN - 376607475 |
Business Phone Number: | 4232305000 |
Business Fax Number: | 4232305035 |
Mailing Address: | 105 W Stone Dr, Suite 6a KINGSPORT |
State: | TN |
Postal Code: | 376603365 |
Phone Number: | 4234087220 |
Fax Number: | 4234087405 |
NPI Enumeration Date: | 05/25/2010 |
NPI Last Update Date: | 03/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |