Bhaktava T Thummala

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

145860 Issued in NY

Practice address

600 E 125TH St
Wards Island
New York, NY 10035

Phone

(212) 369-0500

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659495489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 KISSENA BLVD APT 15H",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 125TH ST",
            "address_2": "WARDS ISLAND",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10035",
            "telephone_number": "212-369-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUMMALA",
        "first_name": "BHAKTAVA",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "145860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145860",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Soe Thukha, MD
• Vinod Thukral, MD
• Emily Thulier, MHC-LP
• Avesh Joseph Thuluvath, MD
• Frederick Lorenz Thum III, M.D.
• Rohit Thummalapalli, MD
• Sireesh Kumar Thummalapally, R.PH
• Jocelyn Thurm, PA-C
• Jonathan S Thurm, DPM
• Zakia Thurman

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• 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.