Revati Komandur MD

NPI 1023012358 - Internal Medicine - 207R00000X

NPI Details
NPI 1023012358
Gender Female
Enumeration Date 05/23/2005
Last Updated 07/09/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
1262 OLIVER ST
STE A
FAYETTEVILLE NC, 28304-4449, US
Phone (910) 609-4903
Fax (910) 609-5548
Business Location
PO BOX 40908
FAYETTEVILLE NC, 28309-0908, US
Phone (910) 609-4903
Fax (910) 609-5548
Toxanomy
Taxonomy Code 207R00000X
License State North Carolina
License Number 9601650
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According to our database, Dr. Revati Komandur MD NPI is 1023012358, taxonomy code is 207R00000X and license number is 9601650, license state is located at North Carolina. Revati Komandur MD physically located at 1262 Oliver St, Fayetteville NC, 28304-4449. NPI Number Revati Komandur MD has the Individual type.

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1023012358 NPI number is provided on an as is basis without warranty of any kind. 1023012358 is maintained by the National Plan & Provider Enumeration System. The contents of Revati Komandur MD are for informational purposes only.