Individual
SHARDUL BAL NAGRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S., MPH
Contact information
Practice address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660-7475
(423) 230-5000
(423) 230-5035
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
53169
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2010
Last updated
03/08/2016
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