Nagavalli, Sumana
Nagavalli, Sumana is an individual health care provider with primary practice located at 899 Poplar Church Rd , Camp Hill PA 17011-2206. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Nagavalli, Sumana can be contacted via phone (717) 763-3043.Contact Information
Primary practice address
899 Poplar Church Rd
Camp Hill PA 17011-2206
Phone: (717) 763-3043
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA060233 | Pennsylvania |
Profile Details
| NPI number | 1104162361 |
|---|---|
| LBN Legal business name | Nagavalli, Sumana |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 17th, 2012 |
| Last updated | Oct 19th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104162361 | NPPES |
| Pennsylvania | MEDICAID | 1027526380001 | |
| Pennsylvania | Other | MA060233 |
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