Provider Demographics
NPI:1891705109
Name:TUM, VYTHIYA (MD)
Entity Type:Individual
Prefix:DR
First Name:VYTHIYA
Middle Name:
Last Name:TUM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 SUNNINGDALE CIR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-1035
Mailing Address - Country:US
Mailing Address - Phone:561-615-4471
Mailing Address - Fax:561-650-6417
Practice Address - Street 1:6 SUNNINGDALE CIR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-1035
Practice Address - Country:US
Practice Address - Phone:561-615-4471
Practice Address - Fax:561-650-6417
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL31941207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD55872Medicare UPIN
FL50862Medicare ID - Type Unspecified