Provider Demographics
NPI:1437878964
Name:NAGAR, MAHI PIYUSH
Entity Type:Individual
Prefix:
First Name:MAHI
Middle Name:PIYUSH
Last Name:NAGAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2983 LIBERTY DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-8724
Mailing Address - Country:US
Mailing Address - Phone:925-353-6043
Mailing Address - Fax:
Practice Address - Street 1:2983 LIBERTY DR
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-8724
Practice Address - Country:US
Practice Address - Phone:925-353-6043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95199555163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine