Individual
SRAVANI BANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1400 HIGHWAY DR, OXFORD, AL 36203-1951
(256) 231-7500
(256) 231-7501
Mailing address
PO BOX 2345, ANNISTON, AL 36202-2345
(256) 235-5639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36261
AL
207R00000X
Internal Medicine Physician
6253
WV
Other
Enumeration date
06/30/2014
Last updated
10/30/2024
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