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Export Provider Record NPI 1417110057
Kavitha Veena NandigamMD
Active
NPI Number1417110057
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine, Gastroenterology
Provider Details
NPI1417110057
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2008-07-03
Last Updated2021-09-20
Mailing Address520 N Elam Ave
Greensboro, NC 27403-1127
United States
Phone: (336) 547-1745
📍 View Map
Primary Practice Address520 N Elam Ave, Lebauer Gastroenterology
Greensboro, NC 27403-1127
United States
Phone: (336) 547-1745 | Fax: (336) 547-1824
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No207RG0100X – Internal Medicine, GastroenterologyCT53337
Yes207RG0100X – Internal Medicine, GastroenterologyNC2016-01669
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About NPI 1417110057

Kavitha Veena Nandigam MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1417110057. The primary specialty listed is Internal Medicine, Gastroenterology. The provider is located in Greensboro, NC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-07-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1417110057?

NPI 1417110057 belongs to Kavitha Veena Nandigam MD, a Internal Medicine, Gastroenterology in Greensboro, NC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1417110057 active?

The current status of NPI 1417110057 in the NPPES registry is Active. The record was last updated on 2021-09-20.

What specialty is NPI 1417110057?

NPI 1417110057 is classified under the taxonomy Internal Medicine, Gastroenterology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1417110057?

You can verify NPI 1417110057 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1417110057?

The primary practice address on file for NPI 1417110057 is 520 N Elam Ave, Greensboro, NC 27403-1127. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1417110057 issued?

NPI 1417110057 was first issued (enumerated) on 2008-07-03. The NPPES record was last updated on 2021-09-20.

Practice Location Map

Kavitha Veena Nandigam is located at 520 N Elam Ave, Greensboro, NC. Use the map below to find directions or verify the practice location.

📍 520 N Elam Ave, Greensboro, NC 27403-1127  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Kavitha Veena Nandigam. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1417110057. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine, Gastroenterology53337CT
Internal Medicine, Gastroenterology2016-01669NC
Data Verified from CMS NPPES Last synced: 2026-08-27 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162