1000 E PRIMROSE ST #170
SPRINGFIELD, MO 65807-5154 US PECOS Enrolled
Overview
Thiagarajan Nandhagopal is a Pediatrician in the SPRINGFIELD area. Thiagarajan Nandhagopal primary office location is at 1000 E PRIMROSE ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1255561056 and the information was updated approximately 12 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 2012019890 | MO |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Pediatrician - Taxonomy Code 208000000X | MO | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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