Provider Demographics
NPI:1184009763
Name:TIRUMANI, HARIKA (MD)
Entity Type:Individual
Prefix:DR
First Name:HARIKA
Middle Name:
Last Name:TIRUMANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HARIKA
Other - Middle Name:
Other - Last Name:GUNDU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5622 B ST APT B
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-3687
Mailing Address - Country:US
Mailing Address - Phone:617-615-2276
Mailing Address - Fax:
Practice Address - Street 1:4301 WEST MARKHAM, SLOT 556
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7199
Practice Address - Country:US
Practice Address - Phone:501-686-5356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-24
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program