Provider Demographics
NPI:1588869242
Name:TUMADA, RAUL (PA)
Entity type:Individual
Prefix:MR
First Name:RAUL
Middle Name:
Last Name:TUMADA
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Gender:M
Credentials:PA
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Mailing Address - Street 1:11700 METRO AIRPORT CENTER DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ROMULUS
Mailing Address - State:MI
Mailing Address - Zip Code:48174-1456
Mailing Address - Country:US
Mailing Address - Phone:734-955-7000
Mailing Address - Fax:734-955-7006
Practice Address - Street 1:11700 METRO AIRPORT CENTER DR
Practice Address - Street 2:SUITE 104
Practice Address - City:ROMULUS
Practice Address - State:MI
Practice Address - Zip Code:48174-1456
Practice Address - Country:US
Practice Address - Phone:734-955-7000
Practice Address - Fax:734-955-7006
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2013-05-13
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant