Individual provider · Type 1 NPI
Shardul Bal Nagre, M.B.B.S., MPH
Vascular Surgery Physician · Kingsport, TN
NPI number
1467771899
Active
Practice location
2050 Meadowview Pkwy
Kingsport, TN 37660-7475
Fax (423) 230-5035
Mailing address
105 W Stone Dr, Suite 6A
Kingsport, TN 37660-3365
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Vascular Surgery Physician Primary | 2086S0129X | 53169 (TN) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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About NPI 1467771899
Shardul Bal Nagre, M.B.B.S., MPH's National Provider Identifier is 1467771899, issued on May 25, 2010. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Kingsport, TN. The record was last updated on Mar 8, 2016.