Individual
DR. NANDAKISHORE NEMARUGOMMULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4102 WILSON BLVD, ARLINGTON, VA 22203-1802
(410) 933-6423
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0087637
MD
207Q00000X
Family Medicine Physician
N1014
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202000001
—
TX
Enumeration date
01/08/2008
Last updated
03/23/2026
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