Individual
SUNDEEP MUMMANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2220 MELANTE DR NE, ATLANTA, GA 30324-4216
(678) 571-3221
Mailing address
2220 MELANTE DR NE, ATLANTA, GA 30324-4216
(678) 571-3221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04983
KY
208M00000X
Hospitalist Physician
E-14410
AR
Other
Enumeration date
03/22/2018
Last updated
10/07/2021
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