Provider Demographics
NPI:1073892048
Name:NACHIMUTHU, NAGAKRISHNAL (MD)
Entity Type:Individual
Prefix:
First Name:NAGAKRISHNAL
Middle Name:
Last Name:NACHIMUTHU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 OGLETREE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77351-9444
Mailing Address - Country:US
Mailing Address - Phone:936-327-7799
Mailing Address - Fax:936-327-9211
Practice Address - Street 1:403 OGLETREE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77351-9444
Practice Address - Country:US
Practice Address - Phone:936-327-7799
Practice Address - Fax:936-327-9211
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ6451207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease