MEDICARE: DR. HARAMOL KAUR NAGI 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	207R00000X	Internal Medicine Physician	0101056572	VA
2	207R00000X	Internal Medicine Physician	D0046924	MD

General Provider Information

NPI Number	:	1346380730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARAMOL KAUR NAGI M.D.

Provider Business Mailing Address
First Line	:	2101 E JEFFERSON ST
Second Line	:	KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS
City	:	ROCKVILLE
State	:	MD
Zip	:	20852-4908
Country	:	US
Telephone Number	:	301-816-6660
Fax Number	:	301-816-6308

Provider Business Practice Location Address
First Line	:	11921 BOURNEFIELD WAY
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-7815
Country	:	US
Telephone Number	:	301-879-6120
Fax Number	:

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

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	12/29/2021

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