Provider Demographics
NPI:1003070012
Name:KANTAMUNENI, UMA DEVI (MD)
Entity Type:Individual
Prefix:
First Name:UMA
Middle Name:DEVI
Last Name:KANTAMUNENI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3655 PRUNERIDGE AVE APT 224
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-5948
Mailing Address - Country:US
Mailing Address - Phone:408-564-7469
Mailing Address - Fax:
Practice Address - Street 1:3655 PRUNERIDGE AVE APT 224
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-5948
Practice Address - Country:US
Practice Address - Phone:408-564-7469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-18
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA 103695207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine