Nandini Channabasappa

MD | Pediatric Gastroenterology | Female

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Complete Profile:

Nandini Channabasappa basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Gastroenterology
Provider Name :	Nandini Channabasappa
Credential :	MD
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Nandini Channabasappa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1935 Medical District Dr Dallas, TX, 75235-7701 United States
Phone Number :	214-456-8000
Fax Number :	214-456-8006

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1477765113
NPI Entity Type :	Individual
First Enrolment Date :	04 May, 2007
Last Updated On :	06 Apr, 2012

Medicare Participation:

Nandini Channabasappa participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0446310205
Medicare Enrollment ID :	I20081124000440
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2000
Accepts Medicare?	Yes. Nandini Channabasappa accepts medicare insurance.

Group Practice Association:

Nandini Channabasappa is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Nandini Channabasappa is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Texas Southwestern Medical Center	0648188250	2495	1935 Medical District Dr Dallas, TX - 752357701 Ph: 2144566745	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nandini Channabasappa are as mentioned. Primary taxonomy code for Nandini Channabasappa, MD is 2080P0206X (Pediatrics Pediatric Gastroenterology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	M7903	TX
390200000X	Student in an Organized Health Care Education/Training Program	No
2080P0206X	Pediatrics Pediatric Gastroenterology	Yes	M7903	TX

Legacy Identifiers:

Other legacy medical identifiers of Nandini Channabasappa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
8AL505	Other	TX	BCBS

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 845347 Dallas, TX, 75284-5347 United States
Phone Number :	214-456-8000
Fax Number :	214-456-8006

Business Location:

Patients can refer following map for directions to Nandini Channabasappa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.