Provider Demographics
NPI:1720009657
Name:NADIG, SHRINATH KALASESHWAR (MD)
Entity Type:Individual
Prefix:DR
First Name:SHRINATH
Middle Name:KALASESHWAR
Last Name:NADIG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3248 CLARKS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-3722
Mailing Address - Country:US
Mailing Address - Phone:503-334-1856
Mailing Address - Fax:
Practice Address - Street 1:116 CLARKESVILLE PLZ
Practice Address - Street 2:
Practice Address - City:CLARKESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30523-6216
Practice Address - Country:US
Practice Address - Phone:706-680-6526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORLL15881207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I041645Medicare PIN