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NPI Code Detail

MEDICARE: POOJA VISHAL NANGRANI MD

MEDICARE: POOJA VISHAL NANGRANI 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
1207R00000XInternal Medicine Physician036178518IL
2207R00000XInternal Medicine Physician35.152209OH

General Provider Information

NPI Number : 1316568116
Entity Type Code : Individual
Provider Name (Legal Business Name) : POOJA VISHAL NANGRANI MD
Provider Business Mailing Address
First Line : 1590 MAPLE HEIGHTS DR
Second Line :
City : DELAWARE
State : OH
Zip : 43015-4594
Country : US
Telephone Number : 817-412-9600
Fax Number :
Provider Business Practice Location Address
First Line : 530 NE GLEN OAK AVE
Second Line :
City : PEORIA
State : IL
Zip : 61637-0001
Country : US
Telephone Number : 309-624-8818
Fax Number : 309-624-8820
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2020
Last Update Date : 05/19/2026

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Directions to “ POOJA VISHAL NANGRANI MD” Practice Location

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