Provider Demographics
NPI:1922101591
Name:NANDINI KOHLI MD PA
Entity Type:Organization
Organization Name:NANDINI KOHLI MD PA
Other - Org Name:AUSTIN PRIMARY CARE PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:M
Authorized Official - Last Name:ONDRASEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-836-5665
Mailing Address - Street 1:2200 PARK BEND DR.
Mailing Address - Street 2:BLDG. II, STE. 300
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758
Mailing Address - Country:US
Mailing Address - Phone:512-836-5665
Mailing Address - Fax:512-997-9092
Practice Address - Street 1:2200 PARK BEND DR.
Practice Address - Street 2:BLDG. II, STE. 300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758
Practice Address - Country:US
Practice Address - Phone:512-836-5665
Practice Address - Fax:512-997-9092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2969207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7155350001Medicare NSC
TX00849TMedicare PIN