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
01070692A
IN
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
—
M55843436
MEDICARE PTAN
IN
01
—
P02010236
MEDICARE RAILROAD
IN
Enumeration date
07/21/2009
Last updated
06/10/2026
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