Individual
DR. PRAVEEN NANDAMURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
E-16579
AR
208000000X
Pediatrics Physician
2021022245
MO
208000000X
Pediatrics Physician
Primary
E-16579
AR
Other
Enumeration date
04/10/2018
Last updated
08/09/2023
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