Individual
RAVITEJA TUMMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-5900
Mailing address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-5900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BP10094738
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2024
Last updated
07/01/2025
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