Provider Demographics
NPI:1871792960
Name:GHUMAN, NIMRTA (MD)
Entity type:Individual
Prefix:
First Name:NIMRTA
Middle Name:
Last Name:GHUMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NIMRTA
Other - Middle Name:
Other - Last Name:BALAGGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1920 QUEENSWOOD DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-4269
Mailing Address - Country:US
Mailing Address - Phone:717-747-3566
Mailing Address - Fax:
Practice Address - Street 1:1920 QUEENSWOOD DR
Practice Address - Street 2:SUITE 200
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4269
Practice Address - Country:US
Practice Address - Phone:717-747-3566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD446506207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology