Individual
SATISH R NANDYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
5501 S MCCOLL RD, EDINBURG, TX 78539-5503
(956) 362-8677
(956) 362-7253
Mailing address
PO BOX 6148, MCALLEN, TX 78502-6148
(956) 362-8677
(956) 362-7253
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
V2795
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201078480
—
IN
01
—
267030230
MEDICARE PTAN
IN
01
—
P02010236
MEDICARE RAILROAD
IN
Enumeration date
07/21/2009
Last updated
11/13/2024
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