Individual
ANIL K TAMMINENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28039
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280396
—
SC
01
—
P00254500
RR MEDICARE
SC
01
—
P00964176
RR MEDICARE
SC
Enumeration date
05/11/2006
Last updated
10/17/2011
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