NPI 1093888216

Srinivas B. Mukkamala. M.D., P.L.C.

Organisation Specialist Flint, MI

Practice location

Address: 1170 Charter Dr Suite F, Flint, MI 48532
Phone: (810) 244-8400
Mailing address: 1170 Charter Dr Suite F, Flint, MI 48532-3587

Authorised official

Name: Srinivas B Mukkamala
Title: Medical Doctor
Phone: (810) 244-8400

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 4301075543 (MI)

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Registry record

NPI: 1093888216
Entity type: Organization
NPI issued: 16 Nov 2006
Record last updated: 28 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.