Individual
DR. SHIVA KUMAR REDDY MUKKAMALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
IRMC CANCER CENTER 850 HOSPITAL ROAD FIRST FLOOR, SUITE 1300, INDIANA, PA 15701
(724) 349-9444
Mailing address
IRMC CANCER CENTER 850 HOSPITAL ROAD, SUITE 1300, INDIANA, PA 15701
(724) 349-9444
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
MD2017-0778
NM
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
09/30/2012
Last updated
03/25/2024
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