Individual
KAVITA TUMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1231 PINE GROVE AVE, SUITE 2A, PORT HURON, MI 48060-3500
(810) 982-8742
(810) 984-8291
Mailing address
1231 PINE GROVE AVE, SUITE 2A, PORT HURON, MI 48060-3500
(810) 982-8742
(810) 984-8291
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301060393
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871569095
—
MI
Enumeration date
02/27/2006
Last updated
03/13/2017
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