Individual
DR. NIRMALA KAMMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1916 CRAIN HWY S, SUITE NUMBER 1, GLEN BURNIE, MD 21061-5563
(410) 760-1930
(410) 760-1717
Mailing address
1916 CRAIN HWY S, SUITE NUMBER 1, GLEN BURNIE, MD 21061-5563
(410) 760-1930
(410) 760-1717
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D25679
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303451800
—
MD
01
—
57106
TRICARE
MD
01
—
6181KN
BLUE CROSS BLUE SHEILD
MD
Enumeration date
06/15/2006
Last updated
01/16/2011
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