DR. JAWAHAR L TUMMALA (NPI# 1225006745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225006745 |
| Entity Type | Individual |
| Full Name | DR. JAWAHAR L TUMMALA |
| Credential | MD |
| Practice Address |
5084 W Pierson Rd Flint MI 48504-1390 |
| Practice Telephone | 8107322950 |
| Practice Fax Number | 8107326464 |
| Mailing Telephone | 8107322950 |
| Mailing Fax Number | 8107326464 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2014-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
JT033664 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1075418 | 05 |
| Street Address |
5084 W PIERSON RD |
| City | FLINT |
| State | MI |
| Zip Code | 48504-1390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952706186 | Staff Unlimited, Inc. | Psychologist | 5084 W Pierson Rd, Suite 2, Flint, MI 48504-1344 | 2014-10-30 |
| 1164606976 | Sunita Tummala Md Plc | Psychiatry & Neurology | 5084 W Pierson Rd, Flint, MI 48504-1390 | 2007-12-28 |
| 1568537207 | Sunita Tummala | Psychiatry & Neurology | 5084 W Pierson Rd, Flint, MI 48504-1390 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935326 | St. Luke N.e.w. Life Center, Inc. | Optometrist | 3115 Lawndale Ave., Flint, MI 48504 | 2019-07-31 |
| 1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
| 1639653413 | Chad Warren Montague | Social Worker | 1420 West University Ave, Flint, MI 48504 | 2018-09-18 |
| 1235628744 | Houda Ghassani | Dentist | 2501 W Pierson Rd # Unitsb-d, Flint, MI 48504 | 2018-05-09 |
| 1982108551 | Dawn Michelle Conklin | Physical Therapist | 1069 N Ballenger Hwy, Flint, MI 48504 | 2018-03-20 |
| 1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| 1609151109 | All American Pharmacy LLC | Pharmacy | 3104-3106 Flushing Rd, Flint, MI 48504 | 2011-10-15 |
| 1972814143 | Ballenger Pharmacy Center | Pharmacy | 1073 N Ballenger Hwy, Flint Twp, MI 48504 | 2010-06-23 |
| 1932357837 | Katherine Ann Kogelmann | Social Worker | 1420 W. University, Flint, MI 48504 | 2008-09-04 |
| Find all providers in zip 48504 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629505821 | Ultimate Service Care LLC | Internal Medicine | G3500 Flushing Rd Ste 200, Flint, MI 48504-4247 | 2017-05-18 |
| 1922100346 | Koteswara Vemuri | Internal Medicine | 1397 S Linden Rd, Suite A, Flint, MI 48532-4194 | 2006-09-05 |
| 1780796276 | Sasikala Vemuri | Internal Medicine | 1397 S Linden Rd, Suite A, Flint, MI 48532-4194 | 2006-08-31 |
| 1023120532 | Sasikala & Koteswara Rao Vemuri Md PC | Internal Medicine | 1397 S Linden Rd, Suite A, Flint, MI 48532-4194 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841312659 | Shahina Arif Motorwala | Internal Medicine | 2116 S Wayne Rd, Westland, MI 48186 | 2007-04-04 |
| 1609919323 | Mohammad Khalaf Batayneh | Internal Medicine | 32472 Schoolcraft Rd, Livonia, MI 48150-4309 | 2007-02-14 |
| 1255499257 | Zafer Obeid | Internal Medicine | 16921 W Warren Ave, Detroit, MI 48228-3505 | 2006-12-04 |
| 1306858980 | Thomas J W Bering, Md, PC | Internal Medicine | 2311 15 Mile Rd, Suite A, Sterling Heights, MI 48310-4812 | 2006-08-12 |
| 1174544050 | Lifetime Medical Associates, P.C. | Internal Medicine | 1701 South Blvd E Ste 250, Rochester Hills, MI 48307-6123 | 2006-07-23 |
| 1871554485 | Abraham Oommen | Internal Medicine | 200 W Center St, Alma, MI 48801-2207 | 2006-03-31 |
| 1538167572 | Jonathon K Nicholson | Internal Medicine | 393 Long Rapids Rd, Alpena, MI 49707-1317 | 2005-07-13 |
| 1316379936 | Iha Health Services Corporation | Internal Medicine | 111 N Huron St, Suite 200, Ypsilanti, MI 48197-2676 | 2013-08-06 |
| 1851682504 | Regents of The University of Michigan | Internal Medicine | 8001 Challis Rd, Brighton, MI 48116-7446 | 2011-04-29 |
| 1881912988 | Rashel Rabizadeh | Internal Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2010-05-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.