Individual
DR. PRAVEEN KUMAR TUMULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1826 POINT WEST PKWY, AMARILLO, TX 79124-2167
(806) 358-8654
(806) 356-8687
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(806) 356-8687
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P0509
TX
207RH0003X
Hematology & Oncology Physician
Primary
P0509
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385163602
—
TX
01
—
P01520704
RAILROAD MEDICARE
TX
Enumeration date
10/16/2008
Last updated
07/15/2024
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