Provider Demographics
NPI:1144218074
Name:NAGAJOTHI, NAGAPRADEEP (MD)
Entity type:Individual
Prefix:DR
First Name:NAGAPRADEEP
Middle Name:
Last Name:NAGAJOTHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:NAGAPRADEEP
Other - Middle Name:
Other - Last Name:NAGAJOTHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2600 6TH ST SW STE A2-710
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44710-1702
Mailing Address - Country:US
Mailing Address - Phone:330-454-8076
Mailing Address - Fax:330-454-3927
Practice Address - Street 1:2600 6TH ST SW STE A2-710
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44710-1702
Practice Address - Country:US
Practice Address - Phone:330-454-8076
Practice Address - Fax:330-454-3927
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35095596174400000X
OH35.095596207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No174400000XOther Service ProvidersSpecialist