Active NPI
Rajendra Tummala
- Psychiatry Physician
- Phoenixville, PA
National Provider Identifier
1104105212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 36-105230
- Practice address
- 35 Eagle Rd
Phoenixville, PA 19460-1067 - Phone
- (610) 592-4441
- NPI assigned
- Aug 5, 2011
- Last updated
- Aug 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 36-105230 | IL | Primary |
Addresses
Primary practice location
35 Eagle Rd
Phoenixville, PA 19460-1067
Mailing address
35 Eagle Rd
Phoenixville, PA 19460-1067
Phone (610) 592-4441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36-105230 | IL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312502400000",
"number": "1104105212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 EAGLE RD",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194601067",
"telephone_number": "610-592-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 EAGLE RD",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194601067",
"telephone_number": "610-592-4441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUMMALA",
"first_name": "RAJENDRA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-05",
"last_updated": "2011-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "36-105230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenixville, PA
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- Valley Forge Urological Assn., P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.