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Individual
NAGABHUSHANA NIMMAGADDA
Active
Individual
NAGABHUSHANA NIMMAGADDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
149316
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00763502
—
NY
Enumeration date
10/27/2006
Last updated
12/01/2015
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