Basic Information
| Provider Information | |||||||||
| NPI: | 1801208517 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NIGAM | ||||||||
| FirstName: | MANSI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25-A, RAILWAY OFFICERS ENCLAVE SP MARG | ||||||||
| Address2: | 25-A CHANAKYAPURI | ||||||||
| City: | NEW DELHI | ||||||||
| State: | DELHI | ||||||||
| PostalCode: | 110021 | ||||||||
| CountryCode: | IN | ||||||||
| TelephoneNumber: | 919873452590 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3435 MAIN STREET 117 CARY HALL | ||||||||
| Address2: | UNIVERSITY AT BUFFALO SCHOOL OF MEDICINE | ||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 14214 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168296126 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/29/2014 | ||||||||
| LastUpdateDate: | 12/29/2014 | ||||||||
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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 | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.