SRINIVAS B. MUKKAMALA. M.D., P.L.C.; NPI #1093888216

Contact Information

SRINIVAS B. MUKKAMALA. M.D., P.L.C.

1170 CHARTER DR
SUITE F
FLINT, MI 48532

Phone: 810-244-8400
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Specialist	174400000X

Indicates primary specialty

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

NPI # 1093888216

LBN Legal business name SRINIVAS B. MUKKAMALA. M.D., P.L.C.

Authorized official SRINIVAS MUKKAMALA - (MEDICAL DOCTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/16/2006

Last updated 08/28/2018 - About 8 years ago

Identifiers

MI	License #	4301075543
MI	Medicaid	4203511

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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