Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
1000 E PRIMROSE ST #170
SPRINGFIELD, MO 65807-5154 US
PECOS Enrolled

Dr. Thiagarajan Nandhagopal, MD

Pediatrician


Dr. Thiagarajan Nandhagopal, MD

Overview

Dr. Thiagarajan Nandhagopal, MD is a Pediatrician in the SPRINGFIELD area. Dr. Thiagarajan Nandhagopal, MD 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 8 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

Primary Practice Location Information
1000 E PRIMROSE ST #170
SPRINGFIELD, MO 65807-5154 US
Phone: (417)-269-9812
Fax:
Practice Mailing Information
1000 E PRIMROSE ST
SPRINGFIELD, MO 65807-5154 US
Phone: (417)-269-9812
Fax: (417)-269-2129
License Number State
2012019890 MO

No Identifiers found

Taxonomy StatePrimary?
Pediatrician - Taxonomy Code 208000000X MOY

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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