Individual provider · NPI-1

Vidya Premanand Nagrale, M.D.

Pathology, Anatomic Pathology & Clinical Pathology · Galveston, TX

NPI number1265750178

StatusActive

Last updated in NPPESOct 27, 2026

Details

NPI: 1265750178
Entity type: Individual (NPI-1)
Name: Ms. Vidya Premanand Nagrale
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: May 17, 2010
Certification date: Oct 27, 2026
Last updated: Oct 27, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207ZP0102X	Pathology, Anatomic Pathology & Clinical Pathology	R2686	TX	Yes
390200000X	Student in an Organized Health Care Education/Training Program	125058857	IL
207ZP0105X	Pathology, Clinical Pathology/Laboratory Medicine	274937	NY
207ZP0102X	Pathology, Anatomic Pathology & Clinical Pathology	274937	NY

Other names

Vidya Sudeep Ingole (Other Name)

Practice location

301 University Blvd
Galveston, TX 77555-5302

Phone 409-772-1011

Mailing address

Elm And Carlton St
Buffalo, NY 14263-0001

Phone 716-845-2300

Other practice locations

1740 W. Taylor
University Of Illinois
Chicago, IL 60612

Phone 312-996-7312 · Fax 312-996-7586

Elm And Carlton St
Buffalo, NY 14263-0001

Phone 716-845-2300 · Fax 716-845-3549

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