Provider Demographics
NPI:1720494347
Name:NAGRA, NAVROOP KANWAL (MD)
Entity Type:Individual
Prefix:
First Name:NAVROOP KANWAL
Middle Name:
Last Name:NAGRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 HOSPITAL DR FL 5
Mailing Address - Street 2:PRINCE GEORGE HOSPITAL CENTER,DEPT OF MEDICINE
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-1189
Mailing Address - Country:US
Mailing Address - Phone:301-618-3776
Mailing Address - Fax:301-618-2986
Practice Address - Street 1:3001 HOSPITAL DR FL 5
Practice Address - Street 2:PRINCE GEORGE HOSPITAL CENTER,DEPT OF MEDICINE
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-1189
Practice Address - Country:US
Practice Address - Phone:301-618-3776
Practice Address - Fax:301-618-2986
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WAMD60739117207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program