Person
Screen this subjectPrabhakara Rao Tumpati
Debarred entityUnited States. Named in 3 sanctions listings.
Summary
License number: MD432380
Sanctions and listings3
- Effective
- 24 Nov 2023
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited States
- Effective
- 8 Oct 2025
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
- Effective
- 24 Nov 2023
- Ended
- 7 Jan 2025
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
New reinstated date-List date 4/24/25
Positions held1
Period not retained
MD
Identifiers3
| Identifier | Number |
|---|---|
| ID number | MD432380 |
| NPI number | 1487844148 |
| Registration number | 1538400000 |
Other names2
Also known as2
Prabhakara R. TumpatiTUMPATI, PRABHAKARA RAO
Addresses3
1539 SHREWSBURY DRIVE, BENSALEM, PA 19020
(NJ), (NJ)
NJ, NJ
United States
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