Individual
DR. PRADYUMNA E TUMMALA
Active
Individual
DR. PRADYUMNA E TUMMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
041016
GA
207RI0011X
Interventional Cardiology Physician
Primary
041016
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00685209B
—
GA
01
—
06BDHCB
MEDICARE ID
GA
Enumeration date
05/16/2006
Last updated
10/12/2020
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