Individual
NAGENDRA SARAT CHANDRA AYYAGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1234
Mailing address
PO BOX 42738, TOWSON, MD 21284-2738
(410) 296-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.097909
OH
207R00000X
Internal Medicine Physician
MD-44280
IA
207R00000X
Internal Medicine Physician
Primary
MD2019-0071
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065977
—
OH
05
—
1851629521
—
OH
Enumeration date
11/18/2009
Last updated
09/29/2023
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