Basic Information
| Provider Information | |||||||||
| NPI: | 1073979456 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NADKAR | ||||||||
| FirstName: | TRUPTI | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 301 BROWN SPRINGS RD | ||||||||
| Address2: | |||||||||
| City: | MONTGOMERY | ||||||||
| State: | AL | ||||||||
| PostalCode: | 361177005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3342734159 | ||||||||
| FaxNumber: | 3342734556 | ||||||||
| Practice Location | |||||||||
| Address1: | 4371 NARROW LANE RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | MONTGOMERY | ||||||||
| State: | AL | ||||||||
| PostalCode: | 361162975 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3346133680 | ||||||||
| FaxNumber: | 3346133685 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/14/2016 | ||||||||
| LastUpdateDate: | 10/02/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 37508 | AL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.