Provider Demographics
NPI:1881623924
Name:SUCHARITHA NALAGATLA MD INC
Entity type:Organization
Organization Name:SUCHARITHA NALAGATLA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUCHARITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NALAGATLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-892-3086
Mailing Address - Street 1:2275 MILLVILLE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-4248
Mailing Address - Country:US
Mailing Address - Phone:513-892-3086
Mailing Address - Fax:513-892-3789
Practice Address - Street 1:2275 MILLVILLE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-4248
Practice Address - Country:US
Practice Address - Phone:513-892-3086
Practice Address - Fax:513-892-3789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDD1448OtherRR MEDICARE
OH2832279Medicaid
OH9353091Medicare PIN