Individual
GIRISH BABU NAGESETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1251 NILLES ROAD, SUITE17, FAIRFIELD, OH 45014-7205
(513) 829-7133
(513) 829-7134
Mailing address
1251 NILLES ROAD, SUITE17, FAIRFIELD, OH 45014-7205
(513) 829-7133
(513) 829-7134
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-04-7185
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0489734
—
OH
01
—
100007840
INDIANA MEDICAID
IN
Enumeration date
08/30/2005
Last updated
01/11/2021
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