Individual
DR. JAGDISH TUMMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-3300
Mailing address
21526 GREEN HILL RD APT 229, FARMINGTON HILLS, MI 48335-4446
(248) 514-0381
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301092970
MI
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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