Individual
DR. NAGARAJ S KIKKERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3865 CHILDRESS AVE, SUITE A, MESQUITE, TX 75150-2802
(972) 681-7246
(972) 681-8946
Mailing address
3865 CHILDRESS AVE, SUITE A, MESQUITE, TX 75150-2802
(972) 681-7246
(972) 681-8946
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
K9584
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
K9584
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097018807
—
TX
05
—
097018808
—
TX
01
—
610792000
DEPT. OF LABOR
TX
01
—
8K5591
BCBS MAA
TX
01
—
8M0103
BCBS MPA
TX
01
—
8M0110
BCBS WRA
TX
01
—
8R5340
BCBS KIKKERI INTERANTIONA
TX
Enumeration date
08/01/2005
Last updated
10/07/2016
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