Individual
SHASHI KUMAR NAGARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
94 00951
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1074A
BCBS
NC
05
—
176874
—
SC
01
—
20848
PARTNERS
NC
05
—
3000205000
—
WV
01
—
4645025
AETNA
NC
05
—
6026176
—
VA
01
—
74321
MEDCOST
NC
05
—
891074A
—
NC
Enumeration date
12/02/2005
Last updated
10/24/2025
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