Individual
MR. NERLIGE BASAVARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 MAIN ST, SUITE 408, BROOKLYN, NY 11201-1000
(866) 662-4560
(347) 328-0333
Mailing address
45 MAIN ST, SUITE 408, BROOKLYN, NY 11201-1000
(866) 662-4560
(347) 328-0333
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
117319
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02229674
—
NY
Enumeration date
11/03/2005
Last updated
06/02/2014
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