Provider Demographics
NPI:1255316519
Name:TAMULA, ALMA MACATANGAY (MD)
Entity Type:Individual
Prefix:DR
First Name:ALMA
Middle Name:MACATANGAY
Last Name:TAMULA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:300 20TH AVE N
Mailing Address - Street 2:STE 403
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5180
Mailing Address - Country:US
Mailing Address - Phone:615-284-4088
Mailing Address - Fax:615-284-7501
Practice Address - Street 1:1589 SPARTA ST STE 107
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-1392
Practice Address - Country:US
Practice Address - Phone:931-815-6500
Practice Address - Fax:931-815-5667
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-09
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000030338207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
3094719OtherBCBS
TN3827633Medicaid
TN3827633OtherMEDICARE
TN3827633OtherMEDICARE