# DR. NAGASASIKANTH R MOPURI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205399805
- **Gender:** Man
- **Credential:** MD,MBA,MHA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA1114270 | NJ | Yes |
| 207R00000X | Internal Medicine Physician | 25MA11142700 | NJ | Yes |
| 207R00000X | Internal Medicine Physician | MD479640 | PA | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 25MA11142700 | NJ | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | MD479640 | PA | — |
| 2084P0800X | Psychiatry Physician | 25MA11142700 | NJ | — |
| 2084P0800X | Psychiatry Physician | MD479640 | PA | — |
| 208M00000X | Hospitalist Physician | 25MA11142700 | NJ | — |
| 208M00000X | Hospitalist Physician | MD479640 | PA | — |

## Other

- **Enumeration date:** 04/10/2019
- **Last updated:** 03/24/2026