Individual
VAMSHI RAMAN REVURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 CENTER ST, MOBILE, AL 36604-3301
(251) 415-1546
(251) 415-1026
Mailing address
PO BOX 746450, ATLANTA, GA 30374-6450
(866) 401-3057
(318) 868-6430
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD.46185
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/27/2017
Last updated
08/09/2023
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