SUMITHRA NALLA M.D. NPI 1619057379

NPI Information

NPI: 1619057379
Provider Name: SUMITHRA NALLA, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Organization: TEMPLE PHYSICIANS INC

PECOS Registration: Yes

Address:
3401 N BROAD ST
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 707-4600
Get Directions

Sumithra Nalla, M.D. is a nephrology internal medicine in Philadelphia, PA with 26 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Sumithra Nalla, M.D. NPI is 1619057379. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3401 N BROAD ST
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 707-4600
Fax: (215) 707-9697

The NPI 1619057379 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 7/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		MD430094	PENNSYLVANIA	No
2	207RN0300X	Internal Medicine	Nephrology	MD430094	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1007278000	OTHER	PENNSYLVANIA	MEDICAID GROUP TPI
2	597586	OTHER	PENNSYLVANIA	MEDICARE GROUP TPI
3	CD4829	OTHER	PENNSYLVANIA	RAILROAD MEDICARE TPI GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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