Provider Demographics
NPI:1275525149
Name:KASI, NAGAMANI (MD)
Entity Type:Individual
Prefix:
First Name:NAGAMANI
Middle Name:
Last Name:KASI
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 1:3542 BRODHEAD RD
Mailing Address - Street 2:
Mailing Address - City:MONACA
Mailing Address - State:PA
Mailing Address - Zip Code:15061-3126
Mailing Address - Country:US
Mailing Address - Phone:724-775-9919
Mailing Address - Fax:724-775-6922
Practice Address - Street 1:3542 BRODHEAD RD
Practice Address - Street 2:
Practice Address - City:MONACA
Practice Address - State:PA
Practice Address - Zip Code:15061-3126
Practice Address - Country:US
Practice Address - Phone:724-775-9919
Practice Address - Fax:724-775-6922
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039315L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1411323Medicaid
PA1411323Medicaid
PAF74324Medicare UPIN