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Individual
SAMANTA MUKKAMALA
Active
Individual
SAMANTA MUKKAMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2024-01917
NC
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2024-01917
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
08/13/2026
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