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1174667109
MOHAN KRISHNA TUMMALA
SPRINGFIELD, MO
NPI
1174667109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: MO 2011016083)
Enumeration Date
2007-02-15
Last Update Date
2014-10-03
Business Address
-- MOHAN KRISHNA TUMMALA MD
2055 S FREMONT AVE SUITE 100
SPRINGFIELD, MO 65804-2206
Phone number: 417-820-8099
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Mailing Address
-- MOHAN KRISHNA TUMMALA MD
PO BOX 505164
SAINT LOUIS, MO 63150-5164
Phone number: 417-829-4620
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