Provider Demographics
NPI:1801208517
Name:NIGAM, MANSI
Entity Type:Individual
Prefix:
First Name:MANSI
Middle Name:
Last Name:NIGAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25-A, RAILWAY OFFICERS ENCLAVE SP MARG
Mailing Address - Street 2:25-A CHANAKYAPURI
Mailing Address - City:NEW DELHI
Mailing Address - State:DELHI
Mailing Address - Zip Code:110021
Mailing Address - Country:IN
Mailing Address - Phone:91987-345-2590
Mailing Address - Fax:
Practice Address - Street 1:3435 MAIN STREET 117 CARY HALL
Practice Address - Street 2:UNIVERSITY AT BUFFALO SCHOOL OF MEDICINE
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214
Practice Address - Country:US
Practice Address - Phone:716-829-6126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-29
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program