Organization
NAGA MUMMANENI MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAGAPRASADARAO MUMMANENI MD (PHYSICIAN)
(248) 425-8880
Entity
Organization
Contact information
Practice address
4510 MEDICAL CENTER DR STE 150, MCKINNEY, TX 75069-0144
(972) 668-7460
Mailing address
PO BOX 250794, PLANO, TX 75025-0794
(972) 668-7460
(972) 474-3423
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301035894
MI
207L00000X
Anesthesiology Physician
A37672
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G4175
TX
Other
Enumeration date
11/09/2016
Last updated
08/19/2022
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