Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | ME124700 | FL |
N | 207RC0000X | Internist - Cardiovascular Disease | ME124700 | FL |
NPI | 1124280789 |
---|---|
Provider Name | Dr. Mrudula Reddy Munagala |
First Address | Miami, FL 33136-1102 |
Second Address | Miami, FL 33136-1102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2008 |
Last Update Date | 23/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1124280789 | NPI (01) |