Provider Demographics
NPI:1164617130
Name:NANDIPATY MEDICAL ASSOCIATES
Entity Type:Organization
Organization Name:NANDIPATY MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SIVAKUMARI
Authorized Official - Middle Name:
Authorized Official - Last Name:NANDIPATY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-973-9445
Mailing Address - Street 1:1620 E 8TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-5883
Mailing Address - Country:US
Mailing Address - Phone:956-973-9445
Mailing Address - Fax:956-973-0686
Practice Address - Street 1:1620 E 8TH ST STE 1
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-5883
Practice Address - Country:US
Practice Address - Phone:956-973-9445
Practice Address - Fax:956-973-0686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9235208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty