Individual
AMBICA MANJUNATH TUMKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4915 NORTON HEALTHCARE BLVD STE 301, LOUISVILLE, KY 40241-2866
(502) 394-6460
(502) 394-6465
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6879
(502) 558-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
ME123581
FL
2084N0600X
Clinical Neurophysiology Physician
Primary
50099
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015381600
—
FL
01
—
150NE
BLUE CROSS BLUE SHIELD
FL
05
—
7100481060
—
KY
Enumeration date
04/11/2010
Last updated
03/12/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us