Basic Information
Provider Information
NPI: 1144871518
EntityType: 2
ReplacementNPI:  
OrganizationName: TULU STAFFING & MEDICAL SERVICES
LastName:  
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Credential:  
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Mailing Information
Address1: 1525 RABBIT HOLLOW PL
Address2:  
City: SILVER SPRING
State: MD
PostalCode: 209066709
CountryCode: US
TelephoneNumber: 4437988706
FaxNumber:  
Practice Location
Address1: DOCTORS COMMUNITY HOSPITAL
Address2: 8118 GOOD LUCK ROAD
City: LANHAM
State: MD
PostalCode: 207063574
CountryCode: US
TelephoneNumber: 3015528118
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/26/2019
LastUpdateDate: 09/26/2019
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: TULU
AuthorizedOfficialFirstName: HUNDE
AuthorizedOfficialMiddleName: SADO
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 4437988706
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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