MEDICARE: DR. KRISHNA NARANDAS NIRMEL M.D., F.A.C.S.

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	174400000X	Specialist	50220	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	E05941	OTHER	MA	BLUE CROSS BLUE SHIELD
2	050220	OTHER	MA	TUFTS PROVIDER NUMBER
3	12052	OTHER	MA	HARVARD PILGRIM PROV #
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598758195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISHNA NARANDAS NIRMEL M.D., F.A.C.S.

Provider Business Mailing Address
First Line	:	10 UNION ST
Second Line	:	3RD FLOOR
City	:	NATICK
State	:	MA
Zip	:	01760-4759
Country	:	US
Telephone Number	:	508-650-1022
Fax Number	:	508-653-7420

Provider Business Practice Location Address
First Line	:	10 UNION ST
Second Line	:	3RD FLOOR
City	:	NATICK
State	:	MA
Zip	:	01760-4759
Country	:	US
Telephone Number	:	508-650-1022
Fax Number	:	508-653-7420

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

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	08/19/2011

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