person
Irada Mamukadze, MD
Student in an Organized Health Care Education/Training Program in Lansing, Michigan
NPI 1568037273

Irada Mamukadze is a Student in an Organized Health Care Education/Training Program based in Lansing, MI. Irada Mamukadze practices in Lansing, MI and has the professional credentials of MD. The NPI Number for Irada Mamukadze is 1568037273 and holds a License No. (Michigan).

The current practice location address for Irada Mamukadze is 1200 E Michigan Ave Ste 655, Lansing, MI and can be reached out via phone at 937-219-1095.

Location: 1200 E Michigan Ave Ste 655, Lansing, MI, 48912-1837
person
Provider Profile Details
NPI Number
1568037273
Provider Name
Irada Mamukadze
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1200 E Michigan Ave Ste 655, Lansing, MI, 48912-1837
Phone Number
937-219-1095
Fax Number
Provider Enumeration Date
05/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1200 E Michigan Ave Ste 655
City
State
Zip
48912-1837
Phone Number
937-219-1095
Fax Number
person
Provider Business Mailing Address Details
Address
1200 E Michigan Ave Ste 655
City
State
Zip
48912-1837
Phone Number
937-219-1095
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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