Individual
DR. PADMAVATHY TUMMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5757 W THUNDERBIRD RD STE W310, GLENDALE, AZ 85306-4644
(602) 393-2450
(602) 393-2458
Mailing address
5757 W THUNDERBIRD RD STE W310, GLENDALE, AZ 85306-4644
(602) 393-2450
(602) 393-2458
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21393
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-00187
UNITED HEALTHCARE
AZ
05
—
129454
—
AZ
01
—
1Z1233
HEALTHNET
AZ
01
—
4238300
CIGNA
AZ
01
—
628331
AETNA
AZ
01
—
75736
PACIFICARE
AZ
Enumeration date
03/28/2006
Last updated
07/14/2021
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