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Dr. Sumanth Mulamalla, MD
Nephrology Physician in Dyer, Indiana
NPI 1003019647

Sumanth Mulamalla is a Nephrology Physician based in Chicago, IN and is specialized in Nephrology. Sumanth Mulamalla practices in Dyer, IN and has the professional credentials of MD. The NPI Number for Sumanth Mulamalla is 1003019647 and holds a License No. 01065980A (Indiana).

The current practice location address for Sumanth Mulamalla is 15900 W 101St Ave, Dyer, IN and can be reached out via phone at 219-365-6333 and via fax at 219-365-8291. You can also correspond with Sumanth Mulamalla through the mailing address at 210 S DESPLAINES ST, CHICAGO, IL - 60661-5500 (mailing address contact number: 312-654-2700).

Location: 15900 W 101St Ave, Dyer, IN, 60661-5500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003019647
Provider Name
Sumanth Mulamalla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15900 W 101St Ave, Dyer, IN, 60661-5500
Phone Number
219-365-6333
Fax Number
219-365-8291
Provider Enumeration Date
06/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201121060A 05 IN
F400289465 01 IL IL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
15900 W 101St Ave
City
Dyer
State
Indiana
Zip
46311-3065
Phone Number
219-365-6333
Fax Number
219-365-8291
person
Provider Business Mailing Address Details
Address
15900 W 101St Ave
City
Dyer
State
Indiana
Zip
46311-3065
Phone Number
219-365-6333
Fax Number
219-365-8291
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
01065980A (Indiana)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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