Individual
NIRMALA TUMMALAPENTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4238 BRONX BLVD, BRONX, NY 10466-2670
(718) 325-9532
Mailing address
4238 BRONX BLVD, BRONX, NY 10466-2670
(732) 406-5985
(718) 799-5356
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
216016-1
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
216016
NY
Other
Enumeration date
02/12/2007
Last updated
11/06/2024
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