Provider Demographics
NPI:1457109373
Name:THUMMALA, SUMAINA (MD,)
Entity Type:Individual
Prefix:
First Name:SUMAINA
Middle Name:
Last Name:THUMMALA
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:SUMAINA
Other - Middle Name:
Other - Last Name:T
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:760 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206
Mailing Address - Country:US
Mailing Address - Phone:718-963-5807
Mailing Address - Fax:718-963-8752
Practice Address - Street 1:760 BROADWAY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206
Practice Address - Country:US
Practice Address - Phone:718-963-5807
Practice Address - Fax:718-963-8752
Is Sole Proprietor?:No
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program