Organization
SAN ANTONIO NEPHROLOGY ASSOCIATES
Active
Other names
Prakash R Nancherla MD
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASH RAO NANCHERLA MD (DOCTOR/OWNER)
(210) 277-1011
Entity
Organization
Contact information
Practice address
343 W HOUSTON ST, SUITE 906, SAN ANTONIO, TX 78205
(210) 277-1011
(210) 277-1090
Mailing address
343 W HOUSTON ST, SUITE 906, SAN ANTONIO, TX 78205
(210) 277-1011
(210) 277-1090
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
890157
BCBS
TX
01
—
G7697
TX LICENSE
TX
Enumeration date
09/11/2006
Last updated
08/22/2020
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