Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nirandr Inthachak, MD

Individual provider Diagnostic Radiology Physician · NPI 1013900489

Nirandr Inthachak, MD is a Diagnostic Radiology in Douglas, Georgia. Qualified in 1972, 54 years ago. Practices with Universal Radiology Consultants PC, a 28-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
54
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1101 Ocilla Rd
Douglas, GA 31533-2207
Phone: (912) 384-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 020744 (GA)

Record details

NPI number1013900489
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2005
Last updated in NPPESJuly 13, 2026
Mailing address1101 Ocilla Rd, Douglas, GA 31533-2207

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Group practice Universal Radiology Consultants Pc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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