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Mahathi Mudigonda, DO
Student in an Organized Health Care Education/Training Program in Essexville, Michigan
NPI 1548992357

Mahathi Mudigonda is a Student in an Organized Health Care Education/Training Program based in Essexville, MI. Mahathi Mudigonda practices in Essexville, MI and has the professional credentials of DO. The NPI Number for Mahathi Mudigonda is 1548992357 and holds a License No. 5151015882 (Michigan).

The current practice location address for Mahathi Mudigonda is 1458 W Center Rd Ste 1, Essexville, MI and can be reached out via phone at 989-895-4625 and via fax at 989-895-4626.

Location: 1458 W Center Rd Ste 1, Essexville, MI, 48732-2151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548992357
Provider Name
Mahathi Mudigonda
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1458 W Center Rd Ste 1, Essexville, MI, 48732-2151
Phone Number
989-895-4625
Fax Number
989-895-4626
Provider Enumeration Date
06/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1458 W Center Rd Ste 1
City
Essexville
State
Michigan
Zip
48732-2151
Phone Number
989-895-4625
Fax Number
989-895-4626
person
Provider Business Mailing Address Details
Address
1458 W Center Rd Ste 1
City
Essexville
State
Michigan
Zip
48732-2151
Phone Number
989-895-4625
Fax Number
989-895-4626
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5151015882 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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