Provider Demographics
NPI:1720968274
Name:TIRUMALA, TANVI SRINIVASAN (PA-C)
Entity type:Individual
Prefix:
First Name:TANVI
Middle Name:SRINIVASAN
Last Name:TIRUMALA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9004 PLEASANT HILL DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-4448
Mailing Address - Country:US
Mailing Address - Phone:469-920-5293
Mailing Address - Fax:
Practice Address - Street 1:9004 PLEASANT HILL DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-4448
Practice Address - Country:US
Practice Address - Phone:469-920-5293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant