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Individual

DR. NAGASASIKANTH R MOPURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD,MBA,MHA

Contact information

Practice address
103 OLD MARLTON PIKE STE 124, MEDFORD, NJ 08055-8772
(888) 575-9162
(980) 987-4391
Mailing address
2151 NJ ROUTE 38, APT # 902 E, CHERRY HILL, NJ 08002
(888) 575-9162
(980) 987-4391

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA1114270
NJ
207R00000X
Internal Medicine Physician
Primary
25MA11142700
NJ
207R00000X
Internal Medicine Physician
MD479640
PA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
25MA11142700
NJ
207RA0401X
Addiction Medicine (Internal Medicine) Physician
MD479640
PA
2084P0800X
Psychiatry Physician
25MA11142700
NJ
2084P0800X
Psychiatry Physician
MD479640
PA
208M00000X
Hospitalist Physician
25MA11142700
NJ
208M00000X
Hospitalist Physician
MD479640
PA

Other

Enumeration date
04/10/2019
Last updated
03/24/2026
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