Individual
MRUDULA JAKKULA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHYSICIAN,M.B.,B.S.
Contact information
Practice address
2610 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-2911
(612) 781-6816
(612) 781-3837
Mailing address
2610 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-2911
(612) 781-6816
(612) 781-3837
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38533
MN
Other
Enumeration date
05/30/2006
Last updated
07/08/2007
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