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Individual
NIRMALA NANDINI CHEATHAM
Active
Individual
NIRMALA NANDINI CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q2159
TX
207V00000X
Obstetrics & Gynecology Physician
Q2159
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370083301
—
TX
01
—
75-1976930-005
TRICARE
TX
01
—
8GM804
BCBS
TX
01
—
P01812509
RAIL ROAD MEDICARE
TX
Enumeration date
06/27/2011
Last updated
08/30/2017
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