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Individual

DR. JAWAHAR L TUMMALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5084 W PIERSON RD, FLINT, MI 48504-1390
(810) 732-2950
(810) 732-6464
Mailing address
5084 W PIERSON RD, FLINT, MI 48504-1390
(810) 732-2950
(810) 732-6464

Taxonomy

Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
JT033664
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1075418
MI
Enumeration date
03/10/2006
Last updated
02/06/2014
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