Individual
SHANTI SENGAMALAM THIRUMALAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 PRINGLE WAY STE 505, RENO, NV 89502-1469
(757) 982-5437
(775) 982-3971
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-4590
(904) 539-4091
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
ME99791
FL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
24452
NV
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MD-37167
IA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MD70047140
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A530600
—
CA
01
—
00A530600 L59
CAL OPTIMA
CA
05
—
4948191
—
MI
Enumeration date
10/06/2006
Last updated
12/02/2025
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