Prabhavathi Gummalla, M.D

Individual Active
NPI 1750700852
Pediatric Pulmonology Physician Philadelphia, PA

NPI 1750700852 belongs to Prabhavathi Gummalla, M.D, a pediatric pulmonology physician with a practice location in Philadelphia, PA. The NPI was issued on April 16, 2014, and the record was last updated in NPPES on February 9, 2023. The record lists 5 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Pulmonology Physician Primary 2080P0214X MD458931 (PA)
Pediatric Pulmonology Physician 2080P0214X 25MA10793600 (NJ)
Pediatric Pulmonology Physician 2080P0214X 285065 (NY)
Pediatric Sleep Medicine Physician 2080S0012X MD458931 (PA)
Pediatric Sleep Medicine Physician 2080S0012X 25MA10793600 (NJ)

Practice locations

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (917) 715-5360
200 Bowman Dr
Voorhees, NJ 08043-9623
Phone: (215) 590-7490

Local context

Active NPPES records list 79 providers with pediatric pulmonology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 63 of them within 10 miles.

The same primary taxonomy is listed by 97 in Pennsylvania and 1,755 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Prabhavathi Gummalla
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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