Provider Demographics
NPI:1912929332
Name:NAGDA, RASIKLAL DHANGI (MD)
Entity Type:Individual
Prefix:
First Name:RASIKLAL
Middle Name:DHANGI
Last Name:NAGDA
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 1:150 SE 17TH ST STE 400
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5136
Mailing Address - Country:US
Mailing Address - Phone:352-622-9226
Mailing Address - Fax:352-622-7327
Practice Address - Street 1:150 SE 17TH ST STE 400
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5136
Practice Address - Country:US
Practice Address - Phone:352-622-9226
Practice Address - Fax:352-622-7327
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0038227207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL42154OtherMEDICARE
FL42154OtherBLUE CROSS
FL065665800Medicaid
FLD5497Medicare UPIN
FL065665800Medicaid