Mahaveer Mukkamalla MD

NPI 1689866543 - Family Medicine - 207Q00000X

NPI Details
NPI 1689866543
Gender Male
Enumeration Date 08/15/2007
Last Updated 11/27/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
204 S BELLEVUE AVE
DOVER OH, 44622-9405, US
Phone (330) 343-7950
Fax (330) 343-7805
Business Location
204 S BELLEVUE AVE
DOVER OH, 44622-9405, US
Phone (330) 343-7950
Fax (330) 343-7805
Toxanomy
Taxonomy Code 207Q00000X
License State Ohio
License Number 35.095311
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According to our database, Mahaveer Mukkamalla MD NPI is 1689866543, taxonomy code is 207Q00000X and license number is 35.095311, license state is located at Ohio. Mahaveer Mukkamalla MD physically located at 204 S Bellevue Ave, Dover OH, 44622-9405. NPI Number Mahaveer Mukkamalla MD has the Individual type.

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1689866543 NPI number is provided on an as is basis without warranty of any kind. 1689866543 is maintained by the National Plan & Provider Enumeration System. The contents of Mahaveer Mukkamalla MD are for informational purposes only.