PHANI R NIMMAGADDA

SMITHTOWN, NY
NPI1104813401
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  201565-1)
Enumeration Date2005-10-02
Last Update Date2010-01-06
Business Address
Dr. PHANI R NIMMAGADDA M.D
12 MANOR RD
SMITHTOWN, NY 11787-2715
Phone number: 631-724-4110
Mailing Address
Dr. PHANI R NIMMAGADDA M.D
12 MANOR RD
SMITHTOWN, NY 11787-2715
Phone number: 631-724-4110
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