Krishnarao V Tummala, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101050206 Issued in VA

Practice address

619 S .Marion Ave
Lake City VA Medical Center
Lake City, FL 32025

Phone

(386) 755-3016

NPI assigned

Apr 20, 2006

Last updated

Oct 11, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1750346714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S .MARION AVE",
            "address_2": "LAKE CITY VA MEDICAL CENTER",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32025",
            "telephone_number": "386-755-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S .MARION AVE",
            "address_2": "LAKE CITY VA MEDICAL CENTER",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32025",
            "telephone_number": "386-755-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMMALA",
        "first_name": "KRISHNARAO",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101050206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tru' Concierge Care, LLC
• Tucker & Co. LLC (Concierge Medical Group)
• Beverly Anne Tucker, LPN, LMT
• Rachel Lauren Tucker, DNP
• Richard Lamar Tucker
• Sheritia Tunsil
• Dwayne Turner
• Tiana M Turner
• Patricia Twardowski
• Shantrelle Twensey

• Internal Medicine Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.