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Sravya Reddy Mundla

Student in an Organized Health Care Education/Training Program in Forest Hills, NY. Individual provider (NPI-1).

NPI number1003676537
StatusActive
Last updated in NPPESMar 22, 2024

Details

NPI
1003676537
Entity type
Individual (NPI-1)
Name
Sravya Reddy Mundla
Sex
Female
Sole proprietor
No
Enumeration date
Mar 21, 2024
Certification date
Mar 22, 2024
Last updated
Mar 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

10201 66th Rd
Forest Hills, NY 11375-2029

Phone 718-830-4352 · Fax 718-830-1015

Mailing address

10201 66th Rd
Forest Hills, NY 11375-2029

Phone 718-830-4352 · Fax 718-830-1015

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