Doctor Name: | ARUNA K TUMMALA |
NPI Number: | 1376619957 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | 49817-020 |
Business Practice Address: | 1155 N Mayfair Rd Dept Of Psychiatry, 3rd Flr. Milwaukee, WI - 532263421 |
Business Phone Number: | 4144568996 |
Business Fax Number: | |
Mailing Address: | 1155 N Mayfair Rd, Dept Of Psychiatry, 3rd Flr. MILWAUKEE |
State: | WI |
Postal Code: | 532263421 |
Phone Number: | 4144568996 |
Fax Number: | |
NPI Enumeration Date: | 11/27/2006 |
NPI Last Update Date: | 10/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 49817-020 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |