| NPI | 1285945758 |
|---|---|
| Other Name | REVATI MUMMANENI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 50905) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R71974) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2016-04-14 |