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Contact Information

NISCHALA NANNAPANENI, MD
1160 E 3900 S STE 2000
SALT LAKE CITY, UT84124-1236
 Phone: 801-266-3418
 Fax: 801-266-4174
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for NISCHALA NANNAPANENI · (Female)

NPI Number 1992967335
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2008
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 9342217-1205
  • NV Medicaid 1184601239
Hospital affiliation(s)
  • ST MARKS HOSPITAL - (Acute Care)
    1200 EAST 3900 SOUTH
    SALT LAKE CITY, UT 84124
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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