Individual
DR. PRABHAKARA RAO TUMPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1718 WELSH RD, 2ND FLOOR, STE C, PHILADELPHIA, PA 19115-4213
(215) 676-2334
(215) 676-2366
Mailing address
1718 WELSH RD, 2ND FLOOR, STE C, PHILADELPHIA, PA 19115-4213
(215) 676-2334
(215) 676-2366
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD432380
PA
207RB0002X
Obesity Medicine (Internal Medicine) Physician
MD432380
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
259009
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
25MA08590300
NJ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD432380
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19777
BRAVO
PA
01
—
3320805000
PERSONAL CHOICE
PA
01
—
TU2003676
BLUE SHIELD
PA
Enumeration date
07/30/2007
Last updated
04/03/2017
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