Individual
DR. CHAITANYA VENKATA TUMMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4461 COIT RD, STE 409, FRISCO, TX 75035-0526
(214) 396-8877
(214) 983-0983
Mailing address
4461 COIT RD STE 409, FRISCO, TX 75035-0526
(214) 396-8877
(214) 983-0983
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
L9525
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172136703
—
TX
Enumeration date
04/03/2006
Last updated
02/29/2024
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