Most Relevant Information
Provider Data
| NPI Number: | 1003496191 |
| Provider Name: | SHRAVANTI MUTHU MD, MPH |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/12/2021 |
| Last Updated: | 04/12/2021 |
Provider Practice Location
677 BROADMOOR DR
BLUE BELL
PA
194224208
Practice Location Phone/Fax
| Phone: | 2154070506 |
| Fax: |
Provider Mailing Location
677 BROADMOOR DR
BLUE BELL
PA
194224208
Provider Mailing Phone/Fax
| Phone: | 2154070506 |
| Fax: |