Mambalam, Nitya Bandla
Mambalam, Nitya Bandla is an sole proprietor health care provider with primary practice located at 1417 8Th Ave , Bethlehem PA 18018-2256. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Neurology, which is considered as her primary health care specialty. Mambalam, Nitya Bandla can be contacted via phone (484) 526-5210.Contact Information
Primary practice address
1417 8Th Ave
Bethlehem PA 18018-2256
Phone: (484) 526-5210
Fax: (484) 526-5237
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | MD458239 | Pennsylvania |
Profile Details
| NPI number | 1376983767 |
|---|---|
| LBN Legal business name | Mambalam, Nitya Bandla |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2013 |
| Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376983767 | NPPES |
| Missouri | Other | 2013021634 | MISSOURI TEMPORARY LICENSE |
Popular Providers
-
Echiverri, Henry C
3S 517 Winfield Rd Ste A, Warrenville IL 60555-3159 -
Pandey, Hemant K
4045 W Chandler Blvd Bldg F , Chandler AZ 85226-3732 -
Biller, Jose
2160 S 1St Ave (Maguire Center, Rm. 2700), Maywood IL 60153 -
Agner, Celso
1625 Se 3Rd Avenue Suite 623, Fort Lauderdale FL 33316-2521 -
Bershad, Eric M
1 Baylor Plz # Nb-302 , Houston TX 77030-3411 -
Cape, Charles Albert
2100 Exeter Rd , Germantown TN 38138-3922 -
Chawla, Jasvinder
2106 S First Ave 101 1740 Loyola University Medical Center, Maywood IL 60153 -
Hilburn, Jeffrey W
8402 Harcourt Rd Ste 615 , Indianapolis IN 46260-2055