Vijayalakshmi Mukkamalla

NPI 1073883674 - Internal Medicine - 207R00000X

NPI Details
NPI 1073883674
Gender Female
Enumeration Date 01/12/2012
Last Updated 01/12/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1111 SUPERIOR ST
101
MELROSE PARK IL, 60160-4138, US
Phone (708) 344-2161
Fax
Business Location
1111 SUPERIOR ST
101
MELROSE PARK IL, 60160-4138, US
Phone (708) 344-2161
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 125059042
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According to our database, Vijayalakshmi Mukkamalla NPI is 1073883674, taxonomy code is 207R00000X and license number is 125059042, license state is located at Illinois. Vijayalakshmi Mukkamalla physically located at 1111 Superior St, Melrose Park IL, 60160-4138. NPI Number Vijayalakshmi Mukkamalla has the Individual type.

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1073883674 NPI number is provided on an as is basis without warranty of any kind. 1073883674 is maintained by the National Plan & Provider Enumeration System. The contents of Vijayalakshmi Mukkamalla are for informational purposes only.