Ammannagari, Nischala

Ammannagari, Nischala is an individual health care provider with primary practice located at 400 Patroon Creek Blvd Ste 1 , Albany NY 12206-5014. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Ammannagari, Nischala can be contacted via phone (518) 489-0044.

Contact Information

Primary practice address
400 Patroon Creek Blvd Ste 1 Albany NY 12206-5014
Fax: (518) 489-3591
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 287081 New York

Profile Details

NPI number 1033405154
LBN Legal business name Ammannagari, Nischala
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2011
Last updated Sep 26th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033405154 NPPES
New York MEDICAID 04891250

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