Provider Demographics
NPI:1467562587
Name:SUMAN AND NIRMALA PC
Entity Type:Organization
Organization Name:SUMAN AND NIRMALA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIRMALA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINNAMANENI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-836-2274
Mailing Address - Street 1:9307 CALUMET AVE
Mailing Address - Street 2:SUITE A2
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-2891
Mailing Address - Country:US
Mailing Address - Phone:219-836-2274
Mailing Address - Fax:219-836-4200
Practice Address - Street 1:9307 CALUMET AVE
Practice Address - Street 2:SUITE A2
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-2891
Practice Address - Country:US
Practice Address - Phone:219-836-2274
Practice Address - Fax:219-836-4200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01027916207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty