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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. SUPRAJA NAKKALA, M.D.

Deactivated

MS. SUPRAJA NAKKALA, M.D. is a Student (Health Education/Training) healthcare provider located in FAYETTEVILLE, North Carolina. NPI 1306694617 is deactivated in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · FAYETTEVILLE, NC

This NPI has been deactivated. The record was deactivated on January 10, 2025. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1306694617
Provider Type
Individual
Gender
Female
NPI Issued
May 10, 2024 (0.67123287671233 yrs)
Last Updated
Jan 27, 2025
Deactivated
Jan 10, 2025

Practice Information

Address
1638 OWEN DRIVE
BOX 138
FAYETTEVILLE, NC, 283043424
Browse NC providers · Browse ZIP 28304
Phone
9106154000
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in FAYETTEVILLE, NC

Name Credential NPI
DR. LEE-THIERRY TIEN LEE MD 1467524074
MS. SIRISHA SANGAVARAM M.D. 1821205550
CHRISTINA LYNN DOTY OPTICIAN APPRENTICE 1518169127
MRS. ANGELIA VANESSA HAYES M.A. 1871790592
JAMES CONSTANTINE GEKAS MD 1013181569
MRS. REBECCA LYNN ARNESON 1790935682
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.