MEDICARE: NEETEE NADKARNI GADGIL DO, MPH

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	207Q00000X	Family Medicine Physician	20A9463	CA
2	207Q00000X	Family Medicine Physician	M5717	TX

General Provider Information

NPI Number	:	1518162130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEETEE NADKARNI GADGIL DO, MPH

Provider Business Mailing Address
First Line	:	23960 KATY FWY STE 140
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-0892
Country	:	US
Telephone Number	:	281-505-6760
Fax Number	:	281-505-6761

Provider Business Practice Location Address
First Line	:	23960 KATY FWY STE 140
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-0892
Country	:	US
Telephone Number	:	281-505-6760
Fax Number	:	281-505-6761

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

Provider Enumeration Date	:	06/15/2007
Last Update Date	:	04/17/2023

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