Individual
DR. PRABHAVATHI GUMMALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(917) 715-5360
Mailing address
2-10 LINDEN AVE, HADDONFIELD, NJ 08033-2556
(917) 715-5360
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
25MA10793600
NJ
2080P0214X
Pediatric Pulmonology Physician
285065
NY
2080P0214X
Pediatric Pulmonology Physician
Primary
MD458931
PA
2080S0012X
Pediatric Sleep Medicine Physician
25MA10793600
NJ
2080S0012X
Pediatric Sleep Medicine Physician
MD458931
PA
Other
Enumeration date
04/16/2014
Last updated
02/09/2023
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