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Individual

VINAY C TUMULURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7002 W JOHNSON RD, LA PORTE, IN 46350-8289
(219) 325-0604
(219) 879-1401
Mailing address
2022 KELLE DR, CHESTERTON, IN 46304-8708
(219) 326-2312
(219) 326-2584

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01058863A
IN
208M00000X
Hospitalist Physician
01058863
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000489697
ANTHEM. BCBS
IN
05
200505840
IN
Enumeration date
05/27/2006
Last updated
09/22/2020
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