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Madhavi Mummaneni, MD
Hematology & Oncology Physician in Orange, California
NPI 1316999550

Madhavi Mummaneni is a Hematology & Oncology Physician based in Orange, CA and is specialized in Hematology & Oncology. Madhavi Mummaneni practices in Orange, CA and has the professional credentials of MD. The NPI Number for Madhavi Mummaneni is 1316999550 and holds a License No. A52454 (California).

The current practice location address for Madhavi Mummaneni is 805 W La Veta Ave Ste 101, Orange, CA and can be reached out via phone at 714-628-3136.

Location: 805 W La Veta Ave Ste 101, Orange, CA, 92868-3928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316999550
Provider Name
Madhavi Mummaneni
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
805 W La Veta Ave Ste 101, Orange, CA, 92868-3928
Phone Number
714-628-3136
Fax Number
Provider Enumeration Date
05/16/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A524540734 05 CA
WA52454A 01 PPIN
institution
Provider Business Practice Location Address Details
Address
805 W La Veta Ave Ste 101
City
Orange
State
California
Zip
92868-3928
Phone Number
714-628-3136
Fax Number
person
Provider Business Mailing Address Details
Address
805 W La Veta Ave Ste 101
City
Orange
State
California
Zip
92868-3928
Phone Number
714-628-3136
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
A52454 (California)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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