Komandur, Revati
Komandur, Revati is an individual health care provider with primary practice located at Landstuhl Regional Medical Center Unit 33100, Apo AE 09180. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Komandur, Revati can be contacted via phone (314) 590-7351.Contact Information
Primary practice address
Landstuhl Regional Medical Center Unit 33100
Apo AE 09180
Phone: (314) 590-7351
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9601650 | North Carolina |
Profile Details
| NPI number | 1023012358 |
|---|---|
| LBN Legal business name | Komandur, Revati |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Mar 8th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023012358 | NPPES |
| North Carolina | MEDICAID | 8910213 |
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