Nerlige Basavaraju Physician, P.c.

NPI #1427576370 in Commack, New York

Provider Information

NPI Number: 1427576370
Entity Type: Organization
Organization Name: Nerlige Basavaraju Physician, P.c.
Primary Specialty: Internal Medicine
Enumeration Date: Aug 30, 2017
Last Updated: Aug 30, 2017

Practice Location

Address: 68 HAUPPAUGE RD
City: Commack
State: New York
ZIP Code: 11725-4403
Phone: (516) 713-4465

Authorized Official

Name: DR. NERLIGE BASAVARAJU, MD
Title: CEO
Phone: (516) 713-4465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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