Physician Compare National (NPI:1225072952)

HEALTHCARE PROVIDER: NIRMALA KAMMANA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1225072952
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870750078
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120131000056
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KAMMANA
	Individual professional last name
Provider First Name	NIRMALA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1968
	Individual professional's medical school graduation year
Primary Specialty	PEDIATRIC MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GENERAL PRACTICE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GENERAL PRACTICE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1916 CRAIN HWY S
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1
	Group Practice or individual's line 2 address
City	GLEN BURNIE
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	210615565
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4107601930
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y