Individual
SRI KRISHNA MUKKAMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
(770) 844-3200
(404) 851-6325
Mailing address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
(770) 844-3200
(404) 851-6325
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
250427
NY
208M00000X
Hospitalist Physician
Primary
069313
GA
Other
Enumeration date
06/29/2007
Last updated
05/05/2017
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