Individual
KRISHNA P MUKKAMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 859-2220
(716) 859-1521
Mailing address
406 LINWOOD AVE REAR, BUFFALO, NY 14209-1629
(716) 886-0444
(716) 885-7070
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
237577
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02685692
—
NY
Enumeration date
07/08/2006
Last updated
07/08/2007
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