Individual
SHANTHAN YASHODA TUMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
28 W POPLAR AVE, COLUMBUS, OH 43215-1601
(215) 955-6058
Mailing address
132 S 10TH ST, SUITE 1099J, PHILADELPHIA, PA 19107-5244
(215) 955-6058
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34.012773
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2011
Last updated
07/09/2024
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