Nitya Bandla Mambalam
M.D, | Neurology | 14+ years Exp
1417 8th Ave, Bethlehem
Pennsylvania, 18018-2256
484-526-5210 484-526-5237
Maps & DirectionsNitya Bandla Mambalam is a Bethlehem, Pennsylvania based neurologist with 14 years of experience in Neurology. She completed her graduation in 2011. She is also affiliated with hospitals like and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Nitya Bandla Mambalam is MD458239 for Neurology in Pennsylvania. Her current practice location is 1417 8th Ave, Bethlehem. Patients can reach her at 484-526-5210 or can fax her at 484-526-5237. Nitya Bandla Mambalam is M.D, in Neurology and her NPI number (Unique professional ID assigned by NPPES) is 1376983767.
Nitya Bandla Mambalam specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Nitya Bandla Mambalam speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Nitya Bandla Mambalam |
| Specialization: | Neurology |
| Gender: | Female |
| Credentials: | M.D, |
| Experience: | 14+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2011 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1417 8th Ave, Bethlehem,
Pennsylvania, 18018-2256 |
| Phone: | 484-526-5210 |
| Fax: | 484-526-5237 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2264676931 |
| Enrollment ID: | I20171019000192 |
| NPI Number: | 1376983767 |
| NPI Enumeration Date: | 28 Jun, 2013 |
| NPI Last Update On: | 28 Oct, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nitya Bandla Mambalam are as mentioned below.
| License Number | Specialization | State | Status | |
| MD458239 | Neurology | Pennsylvania | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (390049) | Bethlehem, PA | Acute Care Hospital |
| (390326) | Easton, PA | Acute Care Hospital |
| (390330) | Stroudsburg, PA | Acute Care Hospital |
| (390162) | Easton, PA | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Nitya Bandla Mambalam is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Gslpg, Inc (7810226875) | 131 |
| St Luke's Physician Group Inc (6709798333) | 1531 |
| St Lukes Warren Physician Group Pc (9739093675) | 274 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Nitya Bandla Mambalam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2013021634 | Other | Missouri | MISSOURI TEMPORARY LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Nitya Bandla Mambalam
1417 8th Ave,
Bethlehem, Pennsylvania |
| Zip: | 18018-2256 |
| Phone Number: | 484-526-5210 |
| Fax Number: | 484-526-5237 |
Patients can reach Nitya Bandla Mambalam at
1417 8th Ave, Bethlehem, Pennsylvania or can
call to book an appointment on 484-526-5210.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.