Individual
DR. KRISTINE A NANAGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, RM AG 001, INDIANAPOLIS, IN 46202-1239
(317) 962-3886
(317) 962-8652
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01053164
IN
207P00000X
Emergency Medicine Physician
01053164A
IN
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
01053164A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200380560
—
IN
01
—
P00924306
RAILROAD MEDICARE PTAN
IN
Enumeration date
08/09/2006
Last updated
02/15/2021
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