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NPI Code Detail

MEDICARE: DR. NAGAPRASADARAO MUMMANENI MD

MEDICARE:  DR. NAGAPRASADARAO  MUMMANENI  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) PhysicianG4175TX
2207L00000XAnesthesiology PhysicianG4175TX

General Provider Information

NPI Number : 1861434128
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NAGAPRASADARAO MUMMANENI MD
Provider Business Mailing Address
First Line : 3617 GLENHOME DR
Second Line :
City : PLANO
State : TX
Zip : 75025-0118
Country : US
Telephone Number : 248-425-8880
Fax Number : --
Provider Business Practice Location Address
First Line : 3617 GLENHOME DR
Second Line :
City : PLANO
State : TX
Zip : 75025-0118
Country : US
Telephone Number : 248-425-8880
Fax Number : --
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 08/26/2021

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Directions to “ DR. NAGAPRASADARAO MUMMANENI MD” Practice Location

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