Individual
MAHITA BELLAMKONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
700 NE 10TH ST, OKLAHOMA CITY, OK 73104-5404
(405) 271-5882
(405) 271-1476
Mailing address
920 STANTON L YOUNG BLVD # 2410, OKLAHOMA CITY, OK 73104-5036
(405) 271-5882
(405) 271-1476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39297
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2019
Last updated
07/29/2022
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