Tummala, Satya Prasad
Tummala, Satya Prasad is an individual health care provider with primary practice located at 11141 Parkview Plaza Dr Ste 200 , Fort Wayne IN 46845-1714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Tummala, Satya Prasad can be contacted via phone (260) 425-6030.Contact Information
Primary practice address
11141 Parkview Plaza Dr Ste 200
Fort Wayne IN 46845-1714
Phone: (260) 425-6030
Fax: (260) 425-6028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01054613A | Indiana |
Profile Details
| NPI number | 1104823343 |
|---|---|
| LBN Legal business name | Tummala, Satya Prasad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Mar 6th, 2023 - about 3 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 | 1104823343 | NPPES |
| Indiana | Other | 12179 | PHP |
| Indiana | MEDICAID | 200357110A | PHP |
| Indiana | Other | 000000201978 | PHP |
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