Provider Demographics
NPI:1134167794
Name:LAHIRI, NANDINI (MD)
Entity type:Individual
Prefix:DR
First Name:NANDINI
Middle Name:
Last Name:LAHIRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:55 CENTENNIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:CAMERON
Mailing Address - State:NC
Mailing Address - Zip Code:28326-4013
Mailing Address - Country:US
Mailing Address - Phone:919-363-2111
Mailing Address - Fax:919-363-0444
Practice Address - Street 1:55 CENTENNIAL PKWY
Practice Address - Street 2:
Practice Address - City:CAMERON
Practice Address - State:NC
Practice Address - Zip Code:28326-4013
Practice Address - Country:US
Practice Address - Phone:910-908-6257
Practice Address - Fax:910-436-2540
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200000866207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCH16417Medicare UPIN