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Contact Information

KRISHNARAO V TUMMALA, MD
619 S .MARION AVE
LAKE CITY VA MEDICAL CENTER
LAKE CITY, FL32025
 Phone: 386-755-3016
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KRISHNARAO V TUMMALA · (Male)

NPI # 1750346714
Status Active
Credentials MD
Entity Individual
Enumeration date 04/20/2006
Last updated 10/11/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101050206
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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