Individual
NIKHILA THAMMINENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8300 CONSTITUTION AVE NE BLDG D, HEMATOLOGY/ONCOLOGY, ALBUQUERQUE, NM 87110-7613
(505) 559-6100
(505) 559-6101
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD2023-1487
NM
Other
Enumeration date
03/31/2018
Last updated
08/01/2024
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