Individual provider · Type 1 NPI

Prabhavathi Gummalla, MD

Pediatric Pulmonology Physician · Philadelphia, PA

NPI number 1750700852 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Call (917) 715-5360 Map

Mailing address

2-10 Linden Ave
Haddonfield, NJ 08033-2556

Other practice locations

  • 200 Bowman Dr, Voorhees, NJ 08043-9623 · (215) 590-7490

Specialties and licenses

TaxonomyCodeLicense
Pediatric Pulmonology Physician 2080P0214X25MA10793600 (NJ)
Pediatric Pulmonology Physician 2080P0214X285065 (NY)
Pediatric Sleep Medicine Physician 2080S0012XMD458931 (PA)
Pediatric Sleep Medicine Physician 2080S0012X25MA10793600 (NJ)
Pediatric Pulmonology Physician Primary 2080P0214XMD458931 (PA)

Pediatric Pulmonology Physician: A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

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About NPI 1750700852

Prabhavathi Gummalla, MD's National Provider Identifier is 1750700852, issued on Apr 16, 2014. The primary taxonomy on file is Pediatric Pulmonology Physician (2080P0214X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 9, 2023.