Individual
SRIRAM MUMMANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
23018 VENTURA BLVD, WOODLAND HILLS, CA 91364-1106
(818) 225-8444
(818) 591-2520
Mailing address
23018 VENTURA BLVD, WOODLAND HILLS, CA 91364-1106
(818) 225-8444
(818) 591-2520
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
A73632
CA
Other
Enumeration date
08/14/2007
Last updated
09/01/2010
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