NISCHALA NANNAPANENI


Address: 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236
Phone: (801) 266-3418

NISCHALA NANNAPANENI (NPI# 1992967335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992967335
Entity Type Individual
Full Name NISCHALA NANNAPANENI
Credential M.D.
Practice Address 1160 E 3900 S Ste 2000
Salt Lake City
UT 84124-1236
Mailing Address 1160 E 3900 S
Suite 2000
Salt Lake City
UT 84124
Practice Telephone (801) 266-3418
Practice Fax Number 8012664174
Mailing Telephone (801) 266-3418
Mailing Fax Number 8012664174
Enumeration Date 2008-06-26
Last Update Date 2017-07-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
9342217-1205 UT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NV 1184601239 05

Office Location

Street Address 1160 E 3900 S STE 2000
City SALT LAKE CITY
State UT
Zip Code 84124-1236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811965122 John D Day Internal Medicine 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 2006-03-11
1457994089 Diane R Russell Family Medicine 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 2019-10-27
1639738545 Elizabeth Eve Potter Nurse Practitioner 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 2019-06-13
1326528779 Sarah Lyn Wagstaff Nurse Practitioner 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 2018-08-15
1356634869 Andrew Charles Behunin Internal Medicine 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 2011-05-17
1538390869 Poorna Lingeswari Nalabothu Internal Medicine 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 2009-08-04
1255591194 Vamsee Mohan Yaganti Internal Medicine 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 2008-06-13
1447373576 Chi-gang Yen Internal Medicine 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 2007-04-06
1770661712 James A Rasmussen Specialist 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 2006-11-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487273298 Shannon Penny Price Social Worker 4465 Maybeck Place, Condo C, Millcreek, UT 84124 2020-04-11
1922654367 Joseph C Melvin Md PC Colon & Rectal Surgery 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 2019-08-12
1366923252 Melanie Stumpf Counselor 1141 E 3900, Suite A170, Salt Lake City, UT 84124 2018-08-28
1376033993 Michelle Flowers Speech-Language Pathologist 2120 East 3900 South, Ste 200, Holladay, UT 84124 2018-05-18
1740797257 Lissa Anne Hutchings Nurse Practitioner 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 2018-01-05
1316465693 Randy Gines Counselor 4460 S Highland Drive # 230, Murray, UT 84124 2017-09-06
1417470717 Joshua Chandler Spencer Counselor 4460 South Highland Dr., 230, Murray, UT 84124 2017-07-19
1659891554 Marcus Whitney Counselor 4460 S Highland Dr. # 230, Murray, UT 84124 2017-06-21
1518496884 Courtney Nilson Counselor 4460 S. Highland Dr. #230, Murray, UT 84124 2017-06-08
1841687126 Intrafilrx Preferred Provider Organization 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 2015-04-23
Find all providers in zip 84124

Taxonomy Information

Taxonomy Code 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851795652 University of Utah Adult Services Internal Medicine 50 North Medical Drive, Salt Lake City, UT 84132 2014-10-22
1164842415 Karnika Ayinapudi Internal Medicine 30 N 1900 E Rm 4a100, Salt Lake City, UT 84132-0002 2014-04-24
1952480527 Susan P. Etheridge Internal Medicine 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 2006-11-03
1518048305 Travis Scott Wall Internal Medicine 50 N Medical Dr, Salt Lake City, UT 84132-0001 2006-10-18
1790866580 Roger A. Freedman Internal Medicine 100 N Medical Dr, Salt Lake City, UT 84113-1103 2006-10-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497078786 Seongwook Han Internal Medicine 1055 N 500 W, Ste 101, Provo, UT 84604-3305 2010-03-01
1952569931 Yonathan Melman Internal Medicine 4403 Harrison Blvd, Ste 3450, Ogden, UT 84403-3271 2008-05-27
1417025628 Michael Cutler Internal Medicine 5169 S Cottonwood St, Ste 510, Murray, UT 84107-6767 2006-12-04
1366413924 John H. Jentzer Internal Medicine 1380 E Medical Center Dr, Suite 1500, St George, UT 84790-2123 2006-01-31

Competitor

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City SALT LAKE CITY
Zip Code 84124

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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