Individual provider · Type 1 NPI

Pooja Ratna Revanna, MD

Student in an Organized Health Care Education/Training Program · Little Rock, AR

NPI number 1528763000 Active

Practice location

4301 W Markham St
Little Rock, AR 72205-7101

Call (501) 364-5115 Map

Mailing address

5933 Windham Ct
Mobile, AL 36608-3446

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1528763000

Pooja Ratna Revanna, MD's National Provider Identifier is 1528763000, issued on Apr 3, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Little Rock, AR. The record was last updated on Apr 3, 2023.