Individual
DR. TULASI PRIYA GUMMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(952) 993-3248
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
003466
GA
207RH0003X
Hematology & Oncology Physician
58572
MN
207RX0202X
Medical Oncology Physician
Primary
58572
MN
Other
Enumeration date
07/25/2008
Last updated
12/16/2022
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