PRABHAVATHI GUMMALLA

PHILADELPHIA, PA
NPI1750700852
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2080P0214X Pediatrics, Pediatric Pulmonology
(Licence: PA  MD458931)
Additional Taxonomies2080P0214X Pediatrics, Pediatric Pulmonology
(Licence: NJ  25MA10793600)
2080P0214X Pediatrics, Pediatric Pulmonology
(Licence: NY  285065)
2080S0012X Pediatrics, Sleep Medicine
(Licence: PA  MD458931)
2080S0012X Pediatrics, Sleep Medicine
(Licence: NJ  25MA10793600)
Enumeration Date2014-04-16
Last Update Date2023-02-09
Business Address
Dr. PRABHAVATHI GUMMALLA M.D
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 917-715-5360
Mailing Address
Dr. PRABHAVATHI GUMMALLA M.D
2-10 LINDEN AVE
HADDONFIELD, NJ 08033-2556
Phone number: 917-715-5360