Provider Demographics
NPI:1609958818
Name:NAGENDRA, HASSAN SHAMARAO (MD)
Entity Type:Individual
Prefix:DR
First Name:HASSAN
Middle Name:SHAMARAO
Last Name:NAGENDRA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1111 ELMWOOD AVE
Mailing Address - Street 2:ROCHESTER PSYCHIATRIC CENTER
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-3005
Mailing Address - Country:US
Mailing Address - Phone:585-241-1200
Mailing Address - Fax:585-241-1330
Practice Address - Street 1:1111 ELMWOOD AVE
Practice Address - Street 2:ROCHESTER PSYCHIATRIC CENTER
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-3005
Practice Address - Country:US
Practice Address - Phone:585-241-1200
Practice Address - Fax:585-241-1330
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1528122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry