Individual
DR. MOUNIKA TUMMALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911-4668
(434) 654-7580
(434) 654-7582
Mailing address
1850 TOWN CENTER PKWY, RESTON, VA 20190-3219
(703) 689-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101259281
VA
207R00000X
Internal Medicine Physician
MT196391
PA
208M00000X
Hospitalist Physician
Primary
0101259281
VA
208M00000X
Hospitalist Physician
272045
NY
Other
Enumeration date
07/20/2010
Last updated
08/30/2023
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