Individual
NEELIMA TUMMALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 TOWN CENTER DR STE 420, RESTON, VA 20190-5901
(571) 313-0349
Mailing address
1401 S ST NW APT 503, WASHINGTON, DC 20009-5985
(678) 520-8738
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101264596
VA
207Y00000X
Otolaryngology Physician
MD046396
DC
Other
Enumeration date
03/27/2012
Last updated
09/10/2018
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