Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | ME98282 | FL |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 4301084122 | MI |
NPI | 1063639516 |
---|---|
Provider Name | Mrunalini Kavuri |
First Address | Delray Beach, FL 33445-2443 |
Second Address | Delray Beach, FL 33445-2443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 15/05/2008 |