Provider Demographics
NPI:1548373707
Name:LUMPKINS, TANYA CAROLINE (MD)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:CAROLINE
Last Name:LUMPKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7610 CARROLL AVENUE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912
Mailing Address - Country:US
Mailing Address - Phone:301-891-0616
Mailing Address - Fax:301-891-0617
Practice Address - Street 1:7610 CARROLL AVENUE
Practice Address - Street 2:SUITE 320
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912
Practice Address - Country:US
Practice Address - Phone:301-891-0616
Practice Address - Fax:301-891-0617
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0044321207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
52170002OtherBCBS NCA
MD6398602OtherCIGNA
F66252Medicare UPIN
MD6398602OtherCIGNA