IndividualActive
Ponmali Le
NPI 1831777465 · Pediatric Nephrology Physician · Philadelphia, PA
Provider details
- NPI number
- 1831777465
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- MT230885 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-2449
Approximate (ZIP-level) locationGet directions
Mailing address
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Registry dates
- Enumerated
- 2021-04-02
- Last updated
- 2024-07-07
- Certified
- 2024-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.