Tummala, Mohan Krishna
Tummala, Mohan Krishna is an individual health care provider with primary practice located at 2055 S Fremont Ave Suite 100, Springfield MO 65804-2206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Tummala, Mohan Krishna can be contacted via phone (417) 820-8099.Contact Information
Primary practice address
2055 S Fremont Ave Suite 100
Springfield MO 65804-2206
Phone: (417) 820-8099
Fax: (417) 820-8093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 2011016083 | Missouri |
Profile Details
| NPI number | 1174667109 |
|---|---|
| LBN Legal business name | Tummala, Mohan Krishna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Oct 3rd, 2014 - about 12 years 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 | 1174667109 | NPPES |
| Missouri | MEDICAID | 1174667109 |
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