Individual
DR. ANURADHA TUNUGUNTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9350
(570) 522-5056
(570) 524-5061
Mailing address
3 WINDY DR, SHAVERTOWN, PA 18708-9328
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
9295A
WY
207RC0000X
Cardiovascular Disease Physician
MD440592
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD440592
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62511
—
LA
Enumeration date
05/29/2007
Last updated
01/07/2015
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