Individual
DR. SRINIVAS B MUKKAMALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1170 CHARTER DR, SUITE F, FLINT, MI 48532
(810) 244-8400
(810) 244-8410
Mailing address
1170 CHARTER DR, SUITE F, FLINT, MI 48532-3587
(810) 244-8400
(810) 244-8410
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
SM075543
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4203511
—
MI
Enumeration date
05/11/2006
Last updated
08/28/2018
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