MEDICARE: DR. NALINI TIRUMALASETTY MD,ECNU,FACE.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	2014001412	MO
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	55238	AZ

General Provider Information

NPI Number	:	1003168840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NALINI TIRUMALASETTY MD,ECNU,FACE.

Provider Business Mailing Address
First Line	:	908 W CHANDLER BLVD STE B-4
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85225-2549
Country	:	US
Telephone Number	:	480-269-6448
Fax Number	:	779-204-2331

Provider Business Practice Location Address
First Line	:	908 W CHANDLER BLVD STE 4
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85225-2548
Country	:	US
Telephone Number	:	480-269-6448
Fax Number	:	779-204-2331

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2012
Last Update Date	:	03/04/2026

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