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1104813401
PHANI R NIMMAGADDA
SMITHTOWN, NY
NPI
1104813401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 201565-1)
Enumeration Date
2005-10-02
Last Update Date
2010-01-06
Business Address
Dr. PHANI R NIMMAGADDA M.D
12 MANOR RD
SMITHTOWN, NY 11787-2715
Phone number: 631-724-4110
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Mailing Address
Dr. PHANI R NIMMAGADDA M.D
12 MANOR RD
SMITHTOWN, NY 11787-2715
Phone number: 631-724-4110
Copy
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