Individual
SUMITHRA NALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1105 LAUREL OAK RD STE 165, VOORHEES, NJ 08043-4312
(856) 374-4440
(856) 325-5734
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 374-4440
(856) 325-5734
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA12870100
NJ
207R00000X
Internal Medicine Physician
MD430094
PA
207RN0300X
Nephrology Physician
Primary
25MA12870100
NJ
207RN0300X
Nephrology Physician
MD430094
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007278000
MEDICAID GROUP TPI
PA
01
—
597586
MEDICARE GROUP TPI
PA
01
—
CD4829
RAILROAD MEDICARE TPI GROUP
PA
Enumeration date
10/17/2006
Last updated
03/06/2026
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