Thumallapally, Nishitha Reddy

Thumallapally, Nishitha Reddy is an individual health care provider with primary practice located at 121 Whitehall Dr , St Augustine FL 32086-5266. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Thumallapally, Nishitha Reddy can be contacted via phone (904) 825-4500.

Contact Information

Primary practice address
121 Whitehall Dr St Augustine FL 32086-5266
Phone: (904) 825-4500
Fax: (907) 825-3672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME159539 Florida

Profile Details

NPI number 1548670946
LBN Legal business name Thumallapally, Nishitha Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2014
Last updated Aug 16th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548670946 NPPES
Florida MEDICAID 118147900
Florida Other 6UOLE
Florida Other QU962

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