Individual
NITYA BANDLA MAMBALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
1417 8TH AVE, BETHLEHEM, PA 18018-2256
(484) 526-5210
(484) 526-5237
Mailing address
1417 8TH AVE, BETHLEHEM, PA 18018-2256
(484) 526-5210
(484) 526-5237
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD458239
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013021634
MISSOURI TEMPORARY LICENSE
MO
Enumeration date
06/28/2013
Last updated
10/28/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us