Provider Demographics
NPI:1295568814
Name:KUMAR, TUNUGUNTLA (PHD)
Entity type:Individual
Prefix:
First Name:TUNUGUNTLA
Middle Name:
Last Name:KUMAR
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:T. RAJENDRA
Other - Middle Name:
Other - Last Name:KUMAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:12700 E. 19TH AVE
Mailing Address - Street 2:MAILSTOP 8613
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045
Mailing Address - Country:US
Mailing Address - Phone:303-724-8689
Mailing Address - Fax:303-724-3512
Practice Address - Street 1:12700 E. 19TH AVE
Practice Address - Street 2:MAILSTOP 8613
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045
Practice Address - Country:US
Practice Address - Phone:303-724-8689
Practice Address - Fax:303-724-3512
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study