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General NPI Number Information
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NPI Number | 1972734986
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Entity Type | Individual
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Provider Name | VINOD KUMAR NAGABHAIRU MD
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Gender | Male
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Dates
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Enumeration Date | 08/07/2009
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 503 SHAW ST
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City | MECHANICSBURG
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State | PA
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Zip | 17050-4151
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Country | US
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Telephone | 717-462-1843
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Fax | 717-661-1381
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Provider Business Mailing Address
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Address Line | PO BOX 1549
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City | MECHANICSBURG
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State | PA
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Zip | 17055-9049
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Country | US
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Telephone | 717-462-1843
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Fax | 717-661-1381
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD448533
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD448533
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License Number State | PA
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