Provider Demographics
NPI:1548375660
Name:NADELLA, PADMA C (MD)
Entity type:Individual
Prefix:
First Name:PADMA
Middle Name:C
Last Name:NADELLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1240 JESSE JEWELL PARKWAY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3862
Mailing Address - Country:US
Mailing Address - Phone:770-287-0031
Mailing Address - Fax:770-297-5034
Practice Address - Street 1:1240 JESSE JEWELL PARKWAY
Practice Address - Street 2:SUITE 600
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3862
Practice Address - Country:US
Practice Address - Phone:770-287-0031
Practice Address - Fax:770-297-5034
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2010-04-15
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Provider Licenses
StateLicense IDTaxonomies
GA050228207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000923326AMedicaid
H41753Medicare UPIN
GA90BDBKRMedicare PIN