Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SUPRAJA NAKKALA, M.D.
DeactivatedMS. 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Deactivated NPIs are no longer valid for billing or credentialing.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 DRIVEBOX 138FAYETTEVILLE, NC, 283043424Browse 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.