NPI 1104876028

Srinivas B Mukkamala, MD

Practitioner Otolaryngology Physician Flint, MI

Practice location

Address: 1170 Charter Dr Suite F, Flint, MI 48532
Phone: (810) 244-8400
Fax: (810) 244-8410
Mailing address: 1170 Charter Dr Suite F, Flint, MI 48532-3587

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence SM075543 (MI)

Other Otolaryngology providers in Michigan →

Registry record

NPI: 1104876028
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 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.