Individual
DR. NANDISH KUMAR THUKRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4411 MEDICAL DR, 300, SAN ANTONIO, TX 78229-3822
(210) 614-5400
(210) 614-2413
Mailing address
4411 MEDICAL DR STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
(210) 614-2413
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
M4590
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218677701
—
TX
01
—
8CN217
BCBS
TX
01
—
P00898289
RAILROAD MEDICARE
TX
01
—
TXB112455
MEDICARE
TX
Enumeration date
09/06/2007
Last updated
01/27/2022
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