| Nukala Med Inc | |
|
11716 Abbey Ln Porter Ranch CA 91326-2469 | |
| (314) 422-1432 | |
| Not Available |
| Full Name | Nukala Med Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11716 Abbey Ln, Porter Ranch, California |
| Authorized Official Name and Position | Aswin Nukala (OWNER) |
| Authorized Official Contact | 3144221432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nukala Med Inc 11716 Abbey Ln Porter Ranch CA 91326-2469 Ph: (314) 422-1432 | Nukala Med Inc 11716 Abbey Ln Porter Ranch CA 91326-2469 Ph: (314) 422-1432 |
| NPI Number | 1558184747 |
|---|---|
| Provider Enumeration Date | 11/05/2024 |
| Last Update Date | 04/30/2025 |
| Medicare PECOS PAC ID | 2163959552 |
|---|---|
| Medicare Enrollment ID | O20241225000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558184747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Aswin Nukala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093155350 PECOS PAC ID: 2466710637 Enrollment ID: I20171215001505 |
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