National Provider Identifier
Thambirajah Nagendra, M.D.
Thambirajah Nagendra, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Wolcott, NY and a listed phone number of (315) 594-9444.
Profile Overview
- NPI
- 1194737361
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- August 13, 2006
- Last Updated
- July 08, 2007
Practice Location
- 6254 Lawville RD
- Wolcott, NY 14590-9792
Phone: (315) 594-9444
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1194737361
- Entity Type
- Individual
- Last Name
- Nagendra
- First Name
- Thambirajah
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 6254 Lawville RD
- Mailing City
- Wolcott
- Mailing State
- NY
- Mailing ZIP Code
- 14590-9792
- Mailing Country
- US
- Mailing Phone
- (315) 594-9444
- Mailing Fax
- (315) 594-1315
- Practice Street Address
- 6254 Lawville RD
- Practice City
- Wolcott
- Practice State
- NY
- Practice ZIP Code
- 14590-9792
- Practice Country
- US
- Practice Phone
- (315) 594-9444
- Practice Fax
- (315) 594-1315
- Enumeration Date
- August 13, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 01574372 (NY)