Individual
DR. PRADYUMNA E TUMMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1110 W PEACHTREE ST NW STE 920, ATLANTA, GA 30309-3609
(404) 962-6000
(404) 962-6001
Mailing address
1110 W PEACHTREE ST NW STE 920, ATLANTA, GA 30309-3609
(404) 962-6000
(404) 962-6001
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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