Individual
MRS. ARCHANA PRASANTI MUDIVARTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 307-2696
(510) 307-1985
Mailing address
320 CALDECOTT LN UNIT 212, OAKLAND, CA 94618-2427
(650) 619-0600
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A93658
CA
Other
Enumeration date
01/22/2007
Last updated
01/10/2022
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