Provider Demographics
NPI:1003168840
Name:TIRUMALASETTY, NAGA NALINI (MD,ECNU,FACE)
Entity Type:Individual
Prefix:DR
First Name:NAGA NALINI
Middle Name:
Last Name:TIRUMALASETTY
Suffix:
Gender:F
Credentials:MD,ECNU,FACE
Other - Prefix:DR
Other - First Name:NAGA NALINI
Other - Middle Name:
Other - Last Name:SAMMETA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:908 W CHANDLER BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-2548
Mailing Address - Country:US
Mailing Address - Phone:480-269-6448
Mailing Address - Fax:779-204-2331
Practice Address - Street 1:908 W CHANDLER BLVD STE 4
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-2548
Practice Address - Country:US
Practice Address - Phone:480-269-6448
Practice Address - Fax:779-204-2331
Is Sole Proprietor?:No
Enumeration Date:2012-10-03
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014001412207RE0101X
AZ55238207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism