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Ms. Nishitha Reddy Thumallapally, MD
Hematology & Oncology Physician in St Augustine, Florida
NPI 1548670946

Nishitha Reddy Thumallapally is a Hematology & Oncology Physician based in Jacksonville, FL and is specialized in Hematology & Oncology. Nishitha Reddy Thumallapally practices in St Augustine, FL and has the professional credentials of MD. The NPI Number for Nishitha Reddy Thumallapally is 1548670946 and holds a License No. ME159539 (Florida).

The current practice location address for Nishitha Reddy Thumallapally is 121 Whitehall Dr, St Augustine, FL and can be reached out via phone at 904-825-4500 and via fax at 907-825-3672.

Location: 121 Whitehall Dr, St Augustine, FL, 32256-6932
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548670946
Provider Name
Nishitha Reddy Thumallapally
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
121 Whitehall Dr, St Augustine, FL, 32256-6932
Phone Number
904-825-4500
Fax Number
907-825-3672
Provider Enumeration Date
05/07/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
118147900 05 FL
6UOLE 01 FL FL BLUE
QU962 01 FL MEDICARE
institution
Provider Business Practice Location Address Details
Address
121 Whitehall Dr
City
St Augustine
State
Florida
Zip
32086-5266
Phone Number
904-825-4500
Fax Number
907-825-3672
person
Provider Business Mailing Address Details
Address
121 Whitehall Dr
City
St Augustine
State
Florida
Zip
32086-5266
Phone Number
904-825-4500
Fax Number
907-825-3672
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
ME159539 (Florida)
Definition
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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