Tummala, Sailaja
Tummala, Sailaja is an individual health care provider with primary practice located at 755 Cowan Drive , Lebanon MO 65536. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tummala, Sailaja can be contacted via phone (417) 532-2805.Contact Information
Primary practice address
755 Cowan Drive
Lebanon MO 65536
Phone: (417) 532-2805
Fax: (417) 532-2865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2011022971 | Missouri |
Profile Details
| NPI number | 1174690630 |
|---|---|
| LBN Legal business name | Tummala, Sailaja |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | May 12th, 2023 - about last year |
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 | 1174690630 | NPPES |
| Wisconsin | MEDICAID | 35322100 | |
| Wisconsin | MEDICAID | 206520504 |
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