Provider Demographics
NPI:1801861117
Name:KAMNANI, NIRMALA (MD)
Entity Type:Individual
Prefix:DR
First Name:NIRMALA
Middle Name:
Last Name:KAMNANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 E 30TH AVE
Mailing Address - Street 2:
Mailing Address - City:PAMPA
Mailing Address - State:TX
Mailing Address - Zip Code:79065-2822
Mailing Address - Country:US
Mailing Address - Phone:806-665-7394
Mailing Address - Fax:806-665-0115
Practice Address - Street 1:104 E 30TH AVE
Practice Address - Street 2:
Practice Address - City:PAMPA
Practice Address - State:TX
Practice Address - Zip Code:79065-2822
Practice Address - Country:US
Practice Address - Phone:806-665-7394
Practice Address - Fax:806-665-0115
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5286174400000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX116375100OtherFIRST CARE
TX4454998OtherAETNA
TX0326811-01Medicaid
TX0326811-01Medicaid
TX116375100OtherFIRST CARE