| Sunita Tummala Md Plc | |
|
5084 W Pierson Rd Flint MI 48504-1390 | |
| (810) 733-5700 | |
| (810) 732-6464 |
| Full Name | Sunita Tummala Md Plc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5084 W Pierson Rd, Flint, Michigan |
| Authorized Official Name and Position | Sunita Tummala (OWNER) |
| Authorized Official Contact | 8107335700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunita Tummala Md Plc 5084 W Pierson Rd Flint MI 48504-1390 Ph: (810) 733-5700 | Sunita Tummala Md Plc 5084 W Pierson Rd Flint MI 48504-1390 Ph: (810) 733-5700 |
| NPI Number | 1164606976 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 12/28/2007 |
| Medicare PECOS PAC ID | 8426130790 |
|---|---|
| Medicare Enrollment ID | O20080124000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164606976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301075291 (Michigan) | Primary |
| Provider Name | Sunita Tummala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568537207 PECOS PAC ID: 2062474141 Enrollment ID: I20041101000627 |
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