Provider Demographics
NPI:1013220110
Name:NIGAM, ERIKA M (RPA-C)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:M
Last Name:NIGAM
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:
Other - Last Name:GORDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 602478
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-2478
Mailing Address - Country:US
Mailing Address - Phone:704-403-6100
Mailing Address - Fax:704-403-6131
Practice Address - Street 1:2435 W. BELVEDERE AVENUE
Practice Address - Street 2:HOFFBERGER BUILDING, SUITE 32
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215
Practice Address - Country:US
Practice Address - Phone:410-601-0900
Practice Address - Fax:410-601-0901
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014066363AS0400X
NC0010-04220363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1013220110Medicaid
SC1662PAMedicaid
NCNCI672AMedicare PIN
NCNCD149AMedicare PIN