Provider Demographics
NPI:1841258449
Name:POORAN, NAKECHAND R (MD)
Entity type:Individual
Prefix:DR
First Name:NAKECHAND
Middle Name:R
Last Name:POORAN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:DIVISION OF GASTROENTEROLOGY AND HEPATOLOGY
Mailing Address - Street 2:UNIVERISY OF FLORIDA, PO BOX 100214
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0214
Mailing Address - Country:US
Mailing Address - Phone:352-273-9472
Mailing Address - Fax:352-627-9002
Practice Address - Street 1:DIVISION OF GASTROENTEROLOGY AND HEPATOLOGY
Practice Address - Street 2:UNIVERISY OF FLORIDA
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0214
Practice Address - Country:US
Practice Address - Phone:352-273-9472
Practice Address - Fax:352-627-9002
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME120153207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1841258449Medicaid
PA1013961860001Medicaid
NJ0274470Medicaid
NJ0274470Medicaid
H96791Medicare UPIN
NJ228571B89Medicare PIN