Individual
REKHA TUMMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 MARY ST, EVANSVILLE, IN 47747-0001
(812) 540-7338
(812) 450-2193
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
01060018
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000353538
ANTHEM
IN
01
—
000000548358
ANTHEM PIN - GATEWAY BLVD
IN
01
—
000000548959
ANTHEM PIN - MARY ST
IN
01
—
64096001
KY MEDICAID
KY
Enumeration date
12/04/2006
Last updated
03/26/2008
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