Individual
ANIL PRAKASH TUMBAPURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 ATLANTIC AVE, RALEIGH, NC 27604-1502
(919) 881-9999
(919) 881-9998
Mailing address
2513 BELDEN PL, RALEIGH, NC 27614-7405
(919) 413-7091
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200200821
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89132KJ
—
NC
Enumeration date
01/28/2006
Last updated
04/22/2021
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