Individual
MOHAN KUMAR THUMMALAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 MILFORD ST STE 201, SALISBURY, MD 21804-6959
(410) 543-1616
(410) 543-8497
Mailing address
106 MILFORD ST, SUITE 201, SALISBURY, MD 21804-6953
(410) 543-1616
(410) 543-8497
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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