Sumanth Mulamalla MD

NPI 1003019647 - Internal Medicine - 207RN0300X

NPI Details
NPI 1003019647
Gender Male
Enumeration Date 06/11/2007
Last Updated 04/21/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
15900 W 101ST AVE
DYER IN, 46311-3065, US
Phone (219) 365-6333
Fax (219) 365-8291
Business Location
CHICAGO IL, 60661-5500, US
Phone (312) 654-2700
Fax (312) 654-9930
Taxonomy Code 207RN0300X
License State Indiana
License Number 01065980A
Remove 1003019647 NPI Number

According to our database, Dr. Sumanth Mulamalla MD NPI is 1003019647, taxonomy code is 207RN0300X and license number is 01065980A, license state is located at Indiana. Sumanth Mulamalla MD physically located at 15900 W 101st Ave, Dyer IN, 46311-3065. NPI Number Sumanth Mulamalla MD has the Individual type.

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1003019647 NPI number is provided on an as is basis without warranty of any kind. 1003019647 is maintained by the National Plan & Provider Enumeration System. The contents of Sumanth Mulamalla MD are for informational purposes only.