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Individual
MOHAN KUMAR THUMMALAPALLI
Active
Individual
MOHAN KUMAR THUMMALAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0064884
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054635
JHHC
—
01
—
111920574
TRICARE STANDARD
—
01
—
119591300
MD PHYSICIANS CARE
—
05
—
119591300
—
MD
01
—
2175061
MAMSI
—
01
—
309269
ANTHEM PRINCESS ANNE
—
01
—
309272
ANTHEM POCOMOKE
—
01
—
309273
ANTHEM SALISBURY
—
01
—
521860379
GREAT WEST
—
01
—
E1540045
CAREFIRST BLUE CHOICE
—
Enumeration date
10/18/2006
Last updated
03/01/2013
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