Provider Demographics
NPI:1487692562
Name:KAMDAR, NIPA PRASHANT (FNP MSN)
Entity type:Individual
Prefix:MRS
First Name:NIPA
Middle Name:PRASHANT
Last Name:KAMDAR
Suffix:
Gender:F
Credentials:FNP MSN
Other - Prefix:MS
Other - First Name:NIPA
Other - Middle Name:SATISH
Other - Last Name:KINARIWALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:919 HIDDEN RDG
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-3813
Mailing Address - Country:US
Mailing Address - Phone:469-282-2625
Mailing Address - Fax:469-282-2655
Practice Address - Street 1:2120 S. WAYSIDE
Practice Address - Street 2:STE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-3900
Practice Address - Country:US
Practice Address - Phone:713-803-1840
Practice Address - Fax:713-938-5852
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX749395363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB133514Medicare PIN