Individual
PRANAMYA MAHANKALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-1354
(520) 626-7747
Mailing address
1501 N CAMPBELL AVE RM 5301, TUCSON, AZ 85724-5058
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
1740772060
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2018
Last updated
05/15/2024
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