Tummala, Jyothiprasanna
Tummala, Jyothiprasanna is an individual health care provider with primary practice located at 1026 Goodyear Ave Ste 100, Gadsden AL 35903-1194. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tummala, Jyothiprasanna can be contacted via phone (256) 492-8250.Contact Information
Primary practice address
1026 Goodyear Ave Ste 100
Gadsden AL 35903-1194
Phone: (256) 492-8250
Fax: (256) 492-8271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD.29810 | Alabama |
Profile Details
| NPI number | 1134227614 |
|---|---|
| LBN Legal business name | Tummala, Jyothiprasanna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Oct 1st, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134227614 | NPPES |
| Alabama | Other | MD.29810 | MD LICENSE |
| Alabama | MEDICAID | 115526 | MD LICENSE |
| Alabama | Other | 116801 | MD LICENSE |
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