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
Phone: (631) 724-4110
Fax: (631) 366-2669
Website:
Health care specialties
| Specialty | Code | License # | 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 15 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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