Individual
MAMATHA GADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
68987
MN
207RH0003X
Hematology & Oncology Physician
68987
MN
207RH0003X
Hematology & Oncology Physician
E-14876
AR
207RX0202X
Medical Oncology Physician
68987
MN
390200000X
Student in an Organized Health Care Education/Training Program
MT209869
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/15/2015
Last updated
01/11/2024
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