Individual
MADHULIKA MAMIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6350 GLENWAY AVE # 4, CINCINNATI, OH 45211-6378
(513) 481-0900
(513) 481-0904
Mailing address
6350 GLENWAY AVE # 4, CINCINNATI, OH 45211-6378
(513) 481-0900
(513) 481-0904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.148440
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
KY
Enumeration date
03/19/2018
Last updated
10/31/2024
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