MEDICARE: DR. KURWA NEEMAT NYIGU 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	0101251032	VA

General Provider Information

NPI Number	:	1417925272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KURWA NEEMAT NYIGU M.D.

Provider Business Mailing Address
First Line	:	4660 KENMORE AVE STE 200
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22304-1306
Country	:	US
Telephone Number	:	336-624-7164
Fax Number	:

Provider Business Practice Location Address
First Line	:	4660 KENMORE AVE STE 200
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22304-1306
Country	:	US
Telephone Number	:	336-624-7164
Fax Number	:

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

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	05/18/2026

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