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1215114384
SHIVAPRAKASH M TUMKUR
MARIETTA, GA
NPI
1215114384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: GA 69727)
Enumeration Date
2008-01-30
Last Update Date
2016-08-08
Business Address
Dr. SHIVAPRAKASH M TUMKUR M.D.
790 CHURCH ST NE STE 400
MARIETTA, GA 30060-7282
Phone number: 770-952-8899
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Mailing Address
Dr. SHIVAPRAKASH M TUMKUR M.D.
PO BOX 3157
INDIANAPOLIS, IN 46206-3157
Phone number: 855-871-1526
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