Provider Demographics
NPI:1669519500
Name:TUMMALA, PADMINI PRIYA (MD)
Entity type:Individual
Prefix:
First Name:PADMINI
Middle Name:PRIYA
Last Name:TUMMALA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:840 TOWNE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-5900
Mailing Address - Country:US
Mailing Address - Phone:909-398-1550
Mailing Address - Fax:909-398-1488
Practice Address - Street 1:914 W FOOTHILL BLVD STE A
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-3785
Practice Address - Country:US
Practice Address - Phone:909-285-6717
Practice Address - Fax:909-946-8700
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2023-10-11
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Provider Licenses
StateLicense IDTaxonomies
CAA61977207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease