Pediatrics, Pediatric Pulmonology
Dr. PRABHAVATHI GUMMALLA M.D
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1750700852 · enumerated 2014-04-16 · record updated 2023-02-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 2-10 LINDEN AVE, HADDONFIELD, NJ, 08033-2556 (917) 715-5360 Google Maps Apple Maps OpenStreetMap
- Practice location 3401 CIVIC CENTER BLVD, PHILADELPHIA, PA, 19104-4319 (917) 715-5360 Google Maps Apple Maps OpenStreetMap
Specialties
- Pediatrics, Pediatric Pulmonology 2080P0214X · License 25MA10793600 NJ
- Pediatrics, Pediatric Pulmonology 2080P0214X · License 285065 NY
- Pediatrics, Sleep Medicine 2080S0012X · License MD458931 PA
- Pediatrics, Sleep Medicine 2080S0012X · License 25MA10793600 NJ
- Pediatrics, Pediatric Pulmonology 2080P0214X · Primary · License MD458931 PA
In this directory
PA Philadelphia County Philadelphia Pediatrics, Pediatric Pulmonology
Locations and evidence
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Practice location
PHILADELPHIA, PA, 191044319
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.