Healthcare Provider Details

I. General information

NPI: 1942646658
Provider Name (Legal Business Name): SILPA NADELLA MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2013
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 JOHN ST STE M-351
KALAMAZOO MI
49007-5358
US

IV. Provider business mailing address

601 JOHN ST STE M-351
KALAMAZOO MI
49007-5358
US

V. Phone/Fax

Practice location:
  • Phone: 269-341-8850
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number79706
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301102902
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: