NANDWANI, VEENA (MD)

Provider Demographics

• NPI: 1598798290
• Name: NANDWANI, VEENA (MD)
• Entity Type: Individual
• First Name: VEENA
• Last Name: NANDWANI
• Gender: F
• Credentials: MD
• Mailing Address - Street 1: 1 MEDICAL CENTER DR
• Mailing Address - City: MORGANTOWN
• Mailing Address - State: WV
• Mailing Address - Zip Code: 26506-1200
• Mailing Address - Country: US
• Mailing Address - Phone: 877-988-4478
• Practice Address - Street 1: 1 MEDICAL CENTER DR
• Practice Address - City: MORGANTOWN
• Practice Address - State: WV
• Practice Address - Zip Code: 26506
• Practice Address - Country: US
• Practice Address - Phone: 877-988-4478
• Is Sole Proprietor?: No
• Enumeration Date: 2006-07-08
• Last Update Date: 2022-04-08

Provider Licenses

State	License ID	Taxonomies
AZ	34380	207R00000X
MD	D0076522	207RC0200X
NC	2012-00184	207RC0200X, 207RP1001X
WV	28025	207RC0200X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	207RC0200X	Allopathic & Osteopathic Physicians	Internal Medicine	Critical Care Medicine
No	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine
No	207RP1001X	Allopathic & Osteopathic Physicians	Internal Medicine	Pulmonary Disease

Provider Identifiers

State	Identifier ID	ID Type	Issuer
	1063433720	Other	CLINIC NPI
NC	5919904	Medicaid
	1962507376	Other	CLINIC NPI
	1043324932	Other	CLINIC NPI
AZ	953861	Medicaid
	1245344316	Other	CLINIC NPI
NC	16933	Other	BCBS NC
NC	16933	Other	BCBS NC
	I40352	Medicare UPIN
	031822	Medicare Oscar/Certification
	1043324932	Other	CLINIC NPI
	1245344316	Other	CLINIC NPI
AZ	953861	Medicaid
	031805	Medicare Oscar/Certification
AZ	Z21114	Medicare PIN
AZ	Z111524	Medicare PIN
AZ	Z21115	Medicare PIN
NC	NC57400322	Medicare PIN
	1962507376	Other	CLINIC NPI
	031824	Medicare Oscar/Certification
AZ	Z21113	Medicare PIN