Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT199472 | PA |
N | 111NI0900X | Internist | MT199472 | PA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 275756 | NY |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD465657 | PA |
NPI | 1043592454 |
---|---|
Provider Name | Dr. Preethi Pirlamarla |
First Address | Astoria, NY 11102-2448 |
Second Address | Philadelphia, PA 19107-4216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2011 |
Last Update Date | 20/10/2020 |