| Dr Nandakishore Nemarugommula, MD | |
|
4102 Wilson Blvd, Arlington, VA 22203-1802 | |
| (410) 933-6423 | |
| Not Available |
| Full Name | Dr Nandakishore Nemarugommula |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4102 Wilson Blvd, Arlington, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114102225 | NPI | - | NPPES |
| 202000001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N1014 (Texas) | Secondary |
| 207Q00000X | Family Medicine | D0087637 (Maryland) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nandakishore Nemarugommula, MD 6201 Greenleigh Ave, Baltimore, MD 21220-2004 Ph: (410) 933-6423 | Dr Nandakishore Nemarugommula, MD 4102 Wilson Blvd, Arlington, VA 22203-1802 Ph: (410) 933-6423 |
Roza H Hassen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1005 N Glebe Rd Ste 160, Arlington, VA 22201 Phone: 571-492-3045 Fax: 571-492-3046 | |
Dr. Mary Cathleen Nishimura, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 888 N Quincy St Unit 2105, Arlington, VA 22203 Phone: 717-609-5897 | |
Zain Jalal Sultan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 S Glebe Rd Ste 110, Arlington, VA 22202 Phone: 571-665-6480 Fax: 571-665-6481 | |
Dr. Carl W Mccord, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 N Glebe Rd Ste 700, Arlington, VA 22203 Phone: 571-933-4662 Fax: 866-343-0947 | |
Lee Baldwin Martin Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 437 N Park Dr, Ste 1, Arlington, VA 22203 Phone: 703-527-1339 Fax: 703-527-9733 | |
Dr. Janet F Regier, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4201 Wilson Blvd, Health Unit Room 265 S, Arlington, VA 22230 Phone: 703-292-4401 Fax: 703-292-9001 |