Healthcare Provider Details

I. General information

NPI: 1578317277
Provider Name (Legal Business Name): THRINATHA SAI BHARGHAV MOVVA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2024
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 W MOANA LN
RENO NV
89509-4991
US

IV. Provider business mailing address

745 W MOANA LN
RENO NV
89509-4991
US

V. Phone/Fax

Practice location:
  • Phone: 775-682-6181
  • Fax:
Mailing address:
  • Phone: 910-892-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: