Organization
SOUTHWEST PA NEUROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARUNA SREE MANDAVA M.D (MANAGER)
(724) 838-0090
Entity
Organization
Contact information
Practice address
426 PELLIS RD, GREENSBURG, PA 15601-4574
(724) 838-0090
(724) 838-7717
Mailing address
426 PELLIS RD, GREENSBURG, PA 15601-4574
(724) 838-0090
(724) 838-7717
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD072721L
PA
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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