Srinivas B. Mukkamala. M.d., P.l.c.

NPI #1093888216 in Flint, Michigan

Provider Information

NPI Number: 1093888216
Entity Type: Organization
Organization Name: Srinivas B. Mukkamala. M.d., P.l.c.
Primary Specialty: Specialist
Enumeration Date: Nov 16, 2006
Last Updated: Aug 28, 2018

Practice Location

Address: 1170 CHARTER DR
Address 2: SUITE F
City: Flint
State: Michigan
ZIP Code: 48532
Phone: (810) 244-8400

Authorized Official

Name: DR. SRINIVAS B MUKKAMALA, M.D.
Title: MEDICAL DOCTOR
Phone: (810) 244-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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