Healthcare Provider Details
I. General information
NPI: 1144871518
Provider Name (Legal Business Name): TULU STAFFING & MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2019
Last Update Date: 09/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
DOCTORS COMMUNITY HOSPITAL 8118 GOOD LUCK ROAD
LANHAM MD
20706-3574
US
IV. Provider business mailing address
1525 RABBIT HOLLOW PL
SILVER SPRING MD
20906-6709
US
V. Phone/Fax
- Phone: 301-552-8118
- Fax:
- Phone: 443-798-8706
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HUNDE
SADO
TULU
Title or Position: OWNER
Credential: MD
Phone: 443-798-8706