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:
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Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023012358 NPPES
North Carolina MEDICAID 8910213

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