Provider Demographics
NPI:1447571856
Name:GANGA, NANDINI
Entity Type:Individual
Prefix:
First Name:NANDINI
Middle Name:
Last Name:GANGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NANDINI
Other - Middle Name:
Other - Last Name:KOLLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 57845
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-7845
Mailing Address - Country:US
Mailing Address - Phone:832-919-6850
Mailing Address - Fax:281-336-9456
Practice Address - Street 1:345 E PARKWOOD AVE
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5147
Practice Address - Country:US
Practice Address - Phone:832-919-6850
Practice Address - Fax:281-336-9456
Is Sole Proprietor?:No
Enumeration Date:2010-06-21
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU5401207R00000X
CT052457207R00000X
MA258870207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine