Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nitya Bandla Mambalam, MD

Individual provider Neurology Physician · NPI 1376983767

Nitya Bandla Mambalam, MD is a Neurology in Bethlehem, Pennsylvania. Qualified in 2011, 15 years ago. Practices with Gslpg, Inc, a 267-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
15
Licensed in
PA
In the registry since
2013
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

1417 8th Ave
Bethlehem, PA 18018-2256
Phone: (484) 526-5210
Fax: (484) 526-5237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence MD458239 (PA)

Record details

NPI number1376983767
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 28, 2013
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Gslpg, Inc — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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