Basic Information
Provider Information
NPI: 1851573570
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAGRI
FirstName: SRIKRISHNA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2300 SOUTHWOOD DR
Address2: DARTMOUTH HITCHCOCK - GASTROENTEROLOGY
City: NASHUA
State: NH
PostalCode: 030631818
CountryCode: US
TelephoneNumber: 6035774000
FaxNumber:  
Practice Location
Address1: 2300 SOUTHWOOD DR
Address2: DARTMOUTH HITCHCOCK - GASTROENTEROLOGY
City: NASHUA
State: NH
PostalCode: 030631818
CountryCode: US
TelephoneNumber: 6035774000
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/04/2007
LastUpdateDate: 12/31/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0100X233430NYN Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
207RG0100X13835NHY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


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