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PONMALI LE
NPI 1831777465
Pediatrics - Pediatric Nephrology in Philadelphia, PA

Active since April 02, 2021
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-2449 Get Directions Write a Review

NPPES record last updated: July 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2024, Jun 3, 2024, Feb 8, 2023 and 1 more (4 updates tracked since 2021).

About Ponmali Le NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PONMALI LE (NPI 1831777465) is an individual pediatric nephrology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT230885) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1831777465
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NamePONMALI LE
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address3401 Civic Center BlvdPhiladelphia, PA 19104-4319 · (215) 590-2449
Phone(215) 590-2449
Sole ProprietorNo
Enumeration DateApril 2, 2021
Last NPPES UpdateJuly 7, 20244 updates tracked since enumeration
NPPES CertifiedJuly 7, 2024
✔ NPI 1831777465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in PA · MT230885
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Names 1

Former Name (1)Jai Ponmali Photavath

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ponmali Le's NPI number?

The NPI number for Ponmali Le is 1831777465. It was assigned to this individual provider in the NPPES registry on April 2, 2021. The provider is also known as Jai Ponmali Photavath.

Where is Ponmali Le located?

Ponmali Le practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-2449.

What is Ponmali Le's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

When was this NPI record last updated?

The NPPES record for Ponmali Le was last updated on July 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.