Provider Demographics
NPI:1922549534
Name:TIRUNAGARI, SHREE KUMAR (MBBS,MS,M CH)
Entity Type:Individual
Prefix:
First Name:SHREE
Middle Name:KUMAR
Last Name:TIRUNAGARI
Suffix:
Gender:M
Credentials:MBBS,MS,M CH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 N BEACH RD
Mailing Address - Street 2:
Mailing Address - City:HOBE SOUND
Mailing Address - State:FL
Mailing Address - Zip Code:33455-2101
Mailing Address - Country:US
Mailing Address - Phone:561-510-5949
Mailing Address - Fax:772-545-1237
Practice Address - Street 1:7 N BEACH RD
Practice Address - Street 2:
Practice Address - City:HOBE SOUND
Practice Address - State:FL
Practice Address - Zip Code:33455-2101
Practice Address - Country:US
Practice Address - Phone:561-510-5949
Practice Address - Fax:772-545-1237
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-15
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant