Individual provider · Type 1 NPI

Nishitha Reddy Thumallapally, MD

Hematology & Oncology Physician · St. Augustine, FL

NPI number 1548670946 Active · reactivated Sep 23, 2015

Practice location

121 Whitehall Dr
St. Augustine, FL 32086-5266

Fax (907) 825-3672

Mailing address

7015 A C Skinner Pkwy Ste 1
Jacksonville, FL 32256-6932

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XME159539 (FL)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1548670946

Nishitha Reddy Thumallapally, MD's National Provider Identifier is 1548670946, issued on May 7, 2014. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in St. Augustine, FL. The record was last updated on Aug 16, 2023.