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Individual
MR. BALA KONDAIAH NIMMANA
Active
Individual
MR. BALA KONDAIAH NIMMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35370
AL
208M00000X
Hospitalist Physician
Primary
MD.35370
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35370
AL LICENSE NUMBER
AL
Enumeration date
07/01/2013
Last updated
08/28/2024
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