Individual
DR. C S DUSHYANT MUKKAMALA VENKATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
250 W 5TH ST, HANFORD, CA 93230-5029
(877) 960-3426
Mailing address
305 E CENTER AVE, VISALIA, CA 93291-6331
(559) 737-4775
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
186873
CA
2080P0205X
Pediatric Endocrinology Physician
71875
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2019
Last updated
01/24/2025
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