Tummala, Srinivas

Tummala, Srinivas is an individual health care provider with primary practice located at 3 Sw 129Th Ave Ste 101-102 , Pembroke Pines FL 33027-1775. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Tummala, Srinivas can be contacted via phone (954) 852-3831.

Contact Information

Primary practice address
3 Sw 129Th Ave Ste 101-102 Pembroke Pines FL 33027-1775
Phone: (954) 852-3831
Fax: (954) 852-3832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 0077596 Florida

Profile Details

NPI number 1922083120
LBN Legal business name Tummala, Srinivas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated May 7th, 2024 - about 4 months 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 1922083120 NPPES
Florida MEDICAID 116768500
Florida MEDICAID 113404800

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