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RAMBABU TUMMALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9832 US HWY 441, SUITE 101, LEESBURG, FL 34788
(352) 787-3341
(352) 787-7491
Mailing address
9832 US HWY 441, SUITE 101, LEESBURG, FL 34788
(352) 787-3341
(352) 787-7491

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME71127
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
259000000
FL
01
31507
BC BS
01
830003186
RR MEDICARE
Enumeration date
11/10/2005
Last updated
11/23/2021
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