Nimmagadda, Phani R

Nimmagadda, Phani R is an sole proprietor health care provider with primary practice located at 12 Manor Rd , Smithtown NY 11787-2715. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Nimmagadda, Phani R can be contacted via phone (631) 724-4110.

Contact Information

Primary practice address
12 Manor Rd Smithtown NY 11787-2715
Fax: (631) 366-2669
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 201565-1 New York

Profile Details

NPI number 1104813401
LBN Legal business name Nimmagadda, Phani R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2005
Last updated Jan 6th, 2010 - about 14 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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