Provider Demographics
NPI:1538147137
Name:NACHNANI, GURBUX H (MD)
Entity type:Individual
Prefix:
First Name:GURBUX
Middle Name:H
Last Name:NACHNANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8926 WOODYARD ROAD
Mailing Address - Street 2:SUITE 601
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735
Mailing Address - Country:US
Mailing Address - Phone:301-868-5526
Mailing Address - Fax:301-868-3627
Practice Address - Street 1:8926 WOODYARD ROAD
Practice Address - Street 2:SUITE 601
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735
Practice Address - Country:US
Practice Address - Phone:301-868-8010
Practice Address - Fax:301-856-1920
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0013072207RC0000X
VA207RC0000X
DC207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD749BMedicare PIN
DC029301H15Medicare PIN
B92871Medicare UPIN