Healthcare Provider Details

I. General information

NPI: 1851225288
Provider Name (Legal Business Name): NARTHANA KAMBALAPALLY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7530 TIDEWATER DR
NORFOLK VA
23505-3703
US

IV. Provider business mailing address

14049 WALNEY VILLAGE CT
CHANTILLY VA
20151-2271
US

V. Phone/Fax

Practice location:
  • Phone: 757-480-3051
  • Fax:
Mailing address:
  • Phone: 571-732-5186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202223355
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: