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NPI Code Detail

MEDICARE: GIRISH BABU NAGESETTY MD

MEDICARE: GIRISH BABU NAGESETTY 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
1208600000XSurgery Physician35-04-7185OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073506606
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIRISH BABU NAGESETTY MD
Provider Business Mailing Address
First Line : 1251 NILLES ROAD
Second Line : SUITE17
City : FAIRFIELD
State : OH
Zip : 45014-7205
Country : US
Telephone Number : 513-829-7133
Fax Number : 513-829-7134
Provider Business Practice Location Address
First Line : 1251 NILLES ROAD
Second Line : SUITE17
City : FAIRFIELD
State : OH
Zip : 45014-7205
Country : US
Telephone Number : 513-829-7133
Fax Number : 513-829-7134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 01/11/2021

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Directions to “ GIRISH BABU NAGESETTY MD” Practice Location

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