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NPI Code Detail

MEDICARE: ANURADHA R THUMMALA MD

MEDICARE: ANURADHA R THUMMALA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician11702NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00340823OTHERNVRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376552745
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANURADHA R THUMMALA MD
Provider Business Mailing Address
First Line : 400 N STEPHANIE ST STE 300
Second Line :
City : HENDERSON
State : NV
Zip : 89014-6692
Country : US
Telephone Number : 702-952-3350
Fax Number : 702-952-3365
Provider Business Practice Location Address
First Line : 7445 PEAK DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-9011
Country : US
Telephone Number : 702-952-2140
Fax Number : 702-952-2147
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 03/21/2024

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Directions to “ ANURADHA R THUMMALA MD” Practice Location

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