Individual
DR. BHARAT NANDGAONKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 CLEAR CREEK RD, KILLEEN, TX 76549-4110
(254) 526-7523
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
K4509
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099183
—
IL
Enumeration date
02/09/2007
Last updated
01/07/2021
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