Kamireddy, Nagireddy

Kamireddy, Nagireddy is an individual health care provider with primary practice located at 96 Mansfield Ave , Willimantic CT 06226-2091. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Kamireddy, Nagireddy can be contacted via phone (860) 450-7583.

Contact Information

Primary practice address
96 Mansfield Ave Willimantic CT 06226-2091
Phone: (860) 450-7583
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 024233 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24233 Connecticut

Profile Details

NPI number 1093702334
LBN Legal business name Kamireddy, Nagireddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Jan 4th, 2015 - about 11 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 1093702334 NPPES
Connecticut MEDICAID 001242338

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