Provider Demographics
NPI:1245727726
Name:NANDI, HARIKA KANDUKURI (MD)
Entity type:Individual
Prefix:DR
First Name:HARIKA
Middle Name:KANDUKURI
Last Name:NANDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HARI
Other - Middle Name:
Other - Last Name:KANDUKURI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8 BAY COLONY CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH GRAFTON
Mailing Address - State:MA
Mailing Address - Zip Code:01536-1301
Mailing Address - Country:US
Mailing Address - Phone:609-992-7845
Mailing Address - Fax:
Practice Address - Street 1:235 N PEARL ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-1794
Practice Address - Country:US
Practice Address - Phone:508-427-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA288215208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine