Individual
SRINIVAS BABU MUVVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
184 LIBERTY ST, LV 125, NEW HAVEN, CT 06519-1625
(203) 688-9907
Mailing address
184 LIBERTY ST, LV 125, NEW HAVEN, CT 06519-1625
(203) 688-9907
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
047359
CT
2084P0800X
Psychiatry Physician
MD435124
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT-187270
PENNSYLVANIA STATE MEDICAL TRAINING LICENCE NUMBER
PA
Enumeration date
06/15/2008
Last updated
07/28/2010
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