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Individual

NITHIN BHAGWANDASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
850 S MAIN ST, HOLLY SPRINGS, NC 27540-8906
(919) 784-7093
Mailing address
593 PAT CRUZ, EL PASO, TX 79932-4107
(409) 392-4065

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2022-00041
NC
207R00000X
Internal Medicine Physician
R3637
TX
208M00000X
Hospitalist Physician
Primary
2022-00041
NC

Other

Enumeration date
04/23/2014
Last updated
08/07/2022
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