Revati Mummaneni MD PLLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

50905 Issued in AZ

Legal business name

REVATI MUMMANENI MD PLLC

Practice address

6895 E Camelback Rd
Unit 6011
Scottsdale, AZ 85251-2461

Phone

(248) 390-4503

NPI assigned

Mar 31, 2016

Last updated

Mar 31, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Revati Mummaneni, MDNPI 1285945758

Title

Ceo

Phone

(248) 390-4503

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Revati Mummaneni, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Scottsdale, AZ
  • NPI 1285945758
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1598128126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6895 E CAMELBACK RD",
            "address_2": "UNIT 6011",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512461",
            "telephone_number": "248-390-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6895 E CAMELBACK RD",
            "address_2": "UNIT 6011",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512461",
            "telephone_number": "248-390-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVATI MUMMANENI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "MUMMANENI",
        "authorized_official_first_name": "REVATI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-390-4503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "50905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrew Michael Reuter, MD
• Jordan Reuter, PMHNP-BC
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• Jacqueline M Reveal, DNP, FNP-BC
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• Dana Marie Reyes, PHARMD
• Daniella Andrea Reyes

• Skilled Nursing Facility in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.