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Individual

NAYNA S NAGRECHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
23995 GREATER MACK AVE, SUITE 102, SAINT CLAIR SHORES, MI 48080-1417
(586) 585-9727
(586) 933-2353
Mailing address
285 VINCENNES PL, GROSSE POINTE FARMS, MI 48236-3114
(313) 417-3876

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301076247
MI
207RN0300X
Nephrology Physician
Primary
4301076247
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11-0502230-2
BCBS INDIVIDUAL PIN NUMBER
MI
01
110E024840
BCBS GROUP NUMBER
MI
Enumeration date
09/01/2005
Last updated
10/30/2018
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