Individual
DIVYA VENKATA TUMULURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
2400 CORPORATE DR STE 100, WEXFORD, PA 15090-7645
(724) 935-4700
Mailing address
2 HOT METAL ST STE 1, PITTSBURGH, PA 15203-2348
(412) 647-3087
(724) 935-8376
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS021667
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2020
Last updated
09/25/2023
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