Tummala, Mohan Krishna

Tummala, Mohan Krishna is an individual health care provider with primary practice located at 2055 S Fremont Ave Suite 100, Springfield MO 65804-2206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Tummala, Mohan Krishna can be contacted via phone (417) 820-8099.

Contact Information

Primary practice address
2055 S Fremont Ave Suite 100 Springfield MO 65804-2206
Phone: (417) 820-8099
Fax: (417) 820-8093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 2011016083 Missouri

Profile Details

NPI number 1174667109
LBN Legal business name Tummala, Mohan Krishna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Oct 3rd, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174667109 NPPES
Missouri MEDICAID 1174667109

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