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Individual

CHENGETAI MAHOMVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 504-3000
(605) 504-3001
Mailing address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 504-3000

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
12745273-1205
UT

Other

Enumeration date
06/22/2016
Last updated
01/15/2025
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