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:
Health care specialties
Specialty | Code | License # | 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 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922083120 | NPPES |
Florida | MEDICAID | 116768500 | |
Florida | MEDICAID | 113404800 |
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