Provider Demographics
NPI:1740418540
Name:THUMMALA, SUNIL KUMAR REDDY (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNIL
Middle Name:KUMAR REDDY
Last Name:THUMMALA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3146 CLARKSVILLE ST
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-8002
Mailing Address - Country:US
Mailing Address - Phone:903-732-6102
Mailing Address - Fax:855-459-5658
Practice Address - Street 1:3146 CLARKSVILLE ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-8002
Practice Address - Country:US
Practice Address - Phone:037-326-1029
Practice Address - Fax:855-459-5658
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN99702084N0400X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology