MEDICARE: NINAD NADKARNI M.D.

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	208M00000X	Hospitalist Physician	301383	NY
2	390200000X	Student in an Organized Health Care Education/Training Program		SD
3	207R00000X	Internal Medicine Physician	301383	NY
4	207RC0001X	Clinical Cardiac Electrophysiology Physician	9411320	KS

General Provider Information

NPI Number	:	1871943944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NINAD NADKARNI M.D.

Provider Business Mailing Address
First Line	:	1400 W 22ND ST
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-1554
Country	:	US
Telephone Number	:	605-312-2253
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 RAINBOW BLVD # MS 3006
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-1554
Country	:	US
Telephone Number	:	913-588-3827
Fax Number	:

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

Provider Enumeration Date	:	06/20/2016
Last Update Date	:	07/01/2024

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