National Provider Identifier Database

SRINIVAS B MUKKAMALA MD PLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

SRINIVAS B. MUKKAMALA. M.D., P.L.C.
1170 CHARTER DR
SUITE F
FLINT, MI48532
Phone: 810-244-8400
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for SRINIVAS B. MUKKAMALA. M.D., P.L.C.

NPI Number 1093888216
Legal business name
LBN
SRINIVAS B. MUKKAMALA. M.D., P.L.C.
Authorized official SRINIVAS MUKKAMALA - (MEDICAL DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 11/16/2006
Last updated 08/28/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 4301075543
  • MI Medicaid: 4203511

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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