Brunda Revanna in Stockbridge - Family Medicine
Brunda Revanna - NPI 1689646135
Brunda Revanna is a Family Medicine in Stockbridge, Georgia. Brunda Revanna practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Brunda Revanna is 1689646135. The last update date is 2015-06-15.
Brunda Revanna's current location address is 950 Eagles Landing Pwky #321, Stockbridge, Georgia. You can contact this provider via phone number 6784324755 and fax number 6784324753. The mailing address for Brunda Revanna is 950 Eagles Landing Pwky #321, Stockbridge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brunda Revanna |
|---|---|
| Address | 950 Eagles Landing Pwky #321, Stockbridge, Georgia |
| Phone Number | 6784324755 |
| Fax Number | 6784324753 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1689646135 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2015-06-15 |
Provider Mailing Address Detail
| Address | 950 Eagles Landing Pwky #321 |
|---|---|
| City | Stockbridge |
| State | Georgia (GA) |
| Post Code | 30281 |
| Phone Number | 6784324755 |
| Fax Number | 6784324753 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 25426 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51517109 | AL BCBS | ||
| 270060909 | TRICARE | ||
| 9930945 | AL | -- |
Post Comment/ Review Below
What is the Brunda Revanna's 1689646135?
The Brunda Revanna's NPI (National Provider Identifier) Number is 1689646135. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Brunda Revanna's facilities are geographically located?
The facilities of Brunda Revanna are physically situated at the following location: 950 Eagles Landing Pwky #321, Stockbridge, GA, 30281.
What is the area of specialization for Brunda Revanna, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brunda Revanna is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Brunda Revanna receive its 1689646135 assignment from the Centers for Medicare & Medicaid Services?
The Brunda Revanna was assigned its 1689646135 by the Centers for Medicare & Medicaid Services on 2006-02-07.
When was the information regarding Brunda Revanna most recently updated?
The details pertaining to the Brunda Revanna, including its address, specialty, and other relevant information, were last refreshed on 2015-06-15.
NPI Number: 1669475166
Address: 4951 Business Park Blvd, Anchorage, AK
NPI Number: 1881697381
Address: 925 Bevins Ct, Lakeport, CA