Dr Venkat P Tummala, MD | |
2125 Crystal Grove Dr, Lakeland, FL 33801-6875 | |
(863) 688-2334 | |
Not Available |
Full Name | Dr Venkat P Tummala |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 2125 Crystal Grove Dr, Lakeland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427207968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | ME109603 (Florida) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | ME109603 (Florida) | Primary |
Entity Name | Manatee Memorial Hospital L P |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770505687 PECOS PAC ID: 2062309164 Enrollment ID: O20060221000789 |
Entity Name | Radiology & Imaging Specialists Of Lakeland |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427049931 PECOS PAC ID: 2264422294 Enrollment ID: O20090306000484 |
Mailing Address | Practice Location Address |
---|---|
Dr Venkat P Tummala, MD 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 Ph: (863) 688-2334 | Dr Venkat P Tummala, MD 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 Ph: (863) 688-2334 |
Dr. Kevin James Sawyer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2125 Crystal Grove Dr, Lakeland, FL 33801 Phone: 863-688-2334 | |
Dr. Yelena Kozirovsky, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1420 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Dr. Michael Larone Campbell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1305 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-688-2334 | |
Michael K Gordon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2115 Crystal Grove Dr, Lakeland, FL 33801 Phone: 863-688-2334 Fax: 863-577-0303 | |
Devashri Patel, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1305 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-688-2334 | |
Alexander J Fernandez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2125 Crystal Grove Dr, Lakeland, FL 33801 Phone: 863-688-2334 | |
Jaehoon Bang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 |