Provider Demographics
NPI:1154383826
Name:NADAR, VENKATESH K (MD)
Entity type:Individual
Prefix:
First Name:VENKATESH
Middle Name:K
Last Name:NADAR
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 1:875 POPLAR CHURCH ROAD
Mailing Address - Street 2:STE 300
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2203
Mailing Address - Country:US
Mailing Address - Phone:717-441-1725
Mailing Address - Fax:717-441-1717
Practice Address - Street 1:875 POPLAR CHURCH ROAD
Practice Address - Street 2:STE 300
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2203
Practice Address - Country:US
Practice Address - Phone:717-441-1725
Practice Address - Fax:717-441-1717
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD049381Y207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
F08324Medicare UPIN
F08324Medicare UPIN