Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Prabhavathi Gummalla, MD

Individual provider Pediatric Pulmonology Physician · NPI 1750700852

Dr. Prabhavathi Gummalla, MD is a Pediatric Pulmonology Physician in Philadelphia, Pennsylvania. Practices as a sole proprietor and works from 2 locations. Licensed in New Jersey, New York and Pennsylvania.

Licensed in
NJ, NY, PA
In the registry since
2014
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (917) 715-5360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Bowman Dr, Voorhees, NJ 08043-9623 — (215) 590-7490

Specialties & licences

Pediatric Pulmonology Physician (primary) Taxonomy 2080P0214X · Licence MD458931 (PA)
Pediatric Pulmonology Physician Taxonomy 2080P0214X · Licence 25MA10793600 (NJ)
Pediatric Pulmonology Physician Taxonomy 2080P0214X · Licence 285065 (NY)
Pediatric Sleep Medicine Physician Taxonomy 2080S0012X · Licence MD458931 (PA)
Pediatric Sleep Medicine Physician Taxonomy 2080S0012X · Licence 25MA10793600 (NJ)

Record details

NPI number1750700852
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 16, 2014
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023

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