Individual
DR. VENKAT P TUMMALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2125 CRYSTAL GROVE DR, LAKELAND, FL 33801-6875
(863) 688-2334
Mailing address
2125 CRYSTAL GROVE DR, LAKELAND, FL 33801-6875
(863) 688-2334
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME109603
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME109603
FL
Other
Enumeration date
09/09/2008
Last updated
07/18/2019
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