Individual
SRAVANI PENUMARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MEDICAL PLAZA STE 365-C, LOS ANGELES, CA 90095-1001
(310) 825-2448
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8771
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A168301
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/04/2015
Last updated
03/17/2021
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