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

Individual provider Internal Medicine Physician · NPI 1114334752

Dr. Sujitha Nandimandalam, MD is an Internal Medicine in Tyler, Texas. Qualified in 2009, 17 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group and accepts Medicare assignment. Licensed in North Carolina and Texas.

Years since qualifying
17
Licensed in
NC, TX
In the registry since
2014
Specialties on file
2
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

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone: (903) 590-5611
Fax: (903) 535-6884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence T0874 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2015-01901 (NC)

Record details

NPI number1114334752
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2014
Last updated in NPPESSeptember 10, 2021
Certification dateSeptember 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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