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NPI Code Detail

MEDICARE: NIKITHA GANGASANI MD

MEDICARE: NIKITHA GANGASANI 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 Physician288347MA
2207RG0100XGastroenterology PhysicianT5321TX

General Provider Information

NPI Number : 1548765084
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIKITHA GANGASANI MD
Provider Business Mailing Address
First Line : 5236 W UNIVERSITY DR STE 3300
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-8121
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5236 W UNIVERSITY DR STE 3300
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-8121
Country : US
Telephone Number : 972-432-7958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2018
Last Update Date : 07/15/2025

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Directions to “ NIKITHA GANGASANI MD” Practice Location

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