Provider Demographics
NPI:1356469555
Name:NADKARNI, ABHIJEET SHRIPAD (MD)
Entity Type:Individual
Prefix:
First Name:ABHIJEET
Middle Name:SHRIPAD
Last Name:NADKARNI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 X RAY DR
Mailing Address - Street 2:SUITE 3700
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-7491
Mailing Address - Country:US
Mailing Address - Phone:704-834-2465
Mailing Address - Fax:704-834-2466
Practice Address - Street 1:2711 X RAY DR
Practice Address - Street 2:SUITE 3700
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-7491
Practice Address - Country:US
Practice Address - Phone:704-834-2465
Practice Address - Fax:704-834-2466
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC29472207RI0200X, 207RC0200X, 207RI0200X
NC2008-00999207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC294728Medicaid
SC294728Medicaid