Tawanda Gumbo, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

41626 Issued in TX

Practice address

Ut Southwestern Medical Ctr
5323 Harry Hines Blvd
Dallas, TX 75390-9113

Phone

(214) 648-9914

Fax

(214) 648-2741

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Texas Infectious Disaeases Consultants, PA

  • Specialist
  • Dallas, TX
  • NPI 1932296191
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255323317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909113",
            "telephone_number": "214-648-9914",
            "fax_number": "214-648-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UT SOUTHWESTERN MEDICAL CTR",
            "address_2": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909113",
            "telephone_number": "214-648-9914",
            "fax_number": "214-648-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMBO",
        "first_name": "TAWANDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "002080",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "41626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02353648",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulfstream Genomics LLC
• Pranathi Ari Gullapalli, MD
• Ashley Gulley, BS, IONM
• Micah Cameron Gultery
• Natasha Danielle Gultery, FNP
• Manasi Gummaraju
• Kyle Lamar Gummelt, D.O.
• Cynthia Gump, LPC
• Christopher James Gumulya, PHARMD
• Uma Gunasekaran, M.D.

• Infectious Disease Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.