MEDICARE: SUNAINA NANGIA 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	207Q00000X	Family Medicine Physician	MD420171	PA

General Provider Information

NPI Number	:	1982674107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUNAINA NANGIA M.D.

Provider Business Mailing Address
First Line	:	1146 W CHESTNUT ST
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-4631
Country	:	US
Telephone Number	:	724-225-9970
Fax Number	:	724-225-2990

Provider Business Practice Location Address
First Line	:	1146 W CHESTNUT ST
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-4631
Country	:	US
Telephone Number	:	724-225-9970
Fax Number	:	724-225-2990

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	03/01/2010

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