Provider Demographics
NPI:1659369056
Name:NIGALYE, NARENDRA L (MD)
Entity Type:Individual
Prefix:DR
First Name:NARENDRA
Middle Name:L
Last Name:NIGALYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 CROCKETT DR STE A
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-5984
Mailing Address - Country:US
Mailing Address - Phone:325-203-5343
Mailing Address - Fax:325-284-3908
Practice Address - Street 1:2502 CROCKETT DR STE A
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-5984
Practice Address - Country:US
Practice Address - Phone:325-649-0999
Practice Address - Fax:325-649-0994
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2249207P00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX104038802Medicaid
TX84190NMedicare PIN
TXG42035Medicare UPIN