Provider Demographics
NPI:1588210314
Name:HINGE, NAGESHWAR RAO (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:NAGESHWAR
Middle Name:RAO
Last Name:HINGE
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7954 JOHN GALT WAY
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-8219
Mailing Address - Country:US
Mailing Address - Phone:419-204-4980
Mailing Address - Fax:
Practice Address - Street 1:209 WISE AVE
Practice Address - Street 2:
Practice Address - City:DUNDALK
Practice Address - State:MD
Practice Address - Zip Code:21222-4911
Practice Address - Country:US
Practice Address - Phone:443-219-6831
Practice Address - Fax:443-219-6851
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-16
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22519183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist