Provider Demographics
NPI:1245446483
Name:STONE, NIMALIE DESILVA (MD)
Entity type:Individual
Prefix:DR
First Name:NIMALIE
Middle Name:DESILVA
Last Name:STONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NIMALIE
Other - Middle Name:INDHIRA
Other - Last Name:DESILVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1841 CLIFTON RD NE
Mailing Address - Street 2:WESLEY WOODS HEALTH CENTER, ROOM 527
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-4021
Mailing Address - Country:US
Mailing Address - Phone:404-728-6317
Mailing Address - Fax:404-728-6425
Practice Address - Street 1:1841 CLIFTON RD NE
Practice Address - Street 2:WESLEY WOODS HOSPITAL
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-4021
Practice Address - Country:US
Practice Address - Phone:404-728-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA054675207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease