Individual
BALA K NANDIGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 HARBOR BLVD, SUITE 12, PORT CHARLOTTE, FL 33952-5052
(941) 625-6187
(941) 625-7887
Mailing address
2400 HARBOR BLVD, SUITE 12, PORT CHARLOTTE, FL 33952-5052
(941) 625-6187
(941) 625-7887
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME48592
FL
Other
Enumeration date
07/08/2006
Last updated
06/10/2013
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