Individual
MS. NISHITHA REDDY THUMALLAPALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
121 WHITEHALL DR, ST AUGUSTINE, FL 32086-5266
(904) 825-4500
(907) 825-3672
Mailing address
7015 A C SKINNER PKWY STE 1, JACKSONVILLE, FL 32256-6932
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME159539
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118147900
—
FL
01
—
6UOLE
FL BLUE
FL
01
—
QU962
MEDICARE
FL
Enumeration date
05/07/2014
Last updated
08/16/2023
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