Organization
REVATI MUMMANENI MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REVATI MUMMANENI MD (CEO)
(248) 390-4503
Entity
Organization
Contact information
Practice address
6895 E CAMELBACK RD, UNIT 6011, SCOTTSDALE, AZ 85251-2461
(248) 390-4503
Mailing address
6895 E CAMELBACK RD, UNIT 6011, SCOTTSDALE, AZ 85251-2461
(248) 390-4503
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
50905
AZ
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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