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Individual

DR. THIMMOJI RAO NAGARAJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 CLINIC DR, CLAYPOOL HILL, RICHLANDS, VA 24641-1102
(276) 964-6771
(276) 964-1319
Mailing address
PO BOX CVPI, RICHLANDS, VA 24641-1100
(276) 964-6771
(276) 964-1319

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101042029
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0092480-000
WV
01
160052578
RAILROAD MEDICARE
01
242638
ANTHEM BCBS
05
6210554
VA
05
64664204
KY
Enumeration date
11/03/2005
Last updated
03/10/2010
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