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Contact Information

SHIVA KUMAR R MUKKAMALLA, MD, MPH
IRMC CANCER CENTER 850 HOSPITAL ROAD FIRST FLOOR
SUITE 1300
INDIANA, PA15701
 Phone: 724-349-9444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology

207RH0000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SHIVA KUMAR R MUKKAMALLA · (Male)

NPI # 1013268077
Status Active
Credentials MD, MPH
Entity Individual
Enumeration date 09/30/2012
Last updated 03/25/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NM License # MD2017-0778
Hospital affiliation(s)
  • PRESBYTERIAN HOSPITAL - (Acute Care)
    1100 CENTRAL AVENUE SE
    ALBUQUERQUE, NM 87106
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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