MEDICARE: NIKHILA ABBINENI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0101274914	VA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207R00000X	Internal Medicine Physician	V9836	TX

General Provider Information

NPI Number	:	1083266647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKHILA ABBINENI MD

Provider Business Mailing Address
First Line	:	2851 N MAIN ST STE 1
Second Line	:
City	:	BELTON
State	:	TX
Zip	:	76513-1109
Country	:	US
Telephone Number	:	254-618-1020
Fax Number	:	254-939-1619

Provider Business Practice Location Address
First Line	:	2851 N MAIN ST STE 1
Second Line	:
City	:	BELTON
State	:	TX
Zip	:	76513-1109
Country	:	US
Telephone Number	:	254-618-1020
Fax Number	:	254-939-1619

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2019
Last Update Date	:	01/28/2026

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