Individual
DR. VIDYASAGAR SARMA TUMULURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7855 S EMERSON AVE, SUITE # N, INDIANAPOLIS, IN 46237-8668
(317) 859-3090
(317) 859-3092
Mailing address
7855 S EMERSON AVE, SUITE # N, INDIANAPOLIS, IN 46237-8668
(317) 859-3090
(317) 859-3092
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01026589A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083652
ANTHEM BCBS
IN
05
—
100059810A
—
IN
01
—
400000632
RR MEDICARE
IN
Enumeration date
11/03/2006
Last updated
01/27/2011
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