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Samira Mukkamala, DMD
Student in an Organized Health Care Education/Training Program in Santa Cruz, California
NPI 1861187346

Samira Mukkamala is a Student in an Organized Health Care Education/Training Program based in Boston, CA. Samira Mukkamala practices in Santa Cruz, CA and has the professional credentials of DMD. The NPI Number for Samira Mukkamala is 1861187346 and holds a License No. (California).

The current practice location address for Samira Mukkamala is 1830 Commercial Way, Santa Cruz, CA and can be reached out via phone at 831-464-5409.

Location: 1830 Commercial Way, Santa Cruz, CA, 02111-1650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861187346
Provider Name
Samira Mukkamala
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1830 Commercial Way, Santa Cruz, CA, 02111-1650
Phone Number
831-464-5409
Fax Number
Provider Enumeration Date
04/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1830 Commercial Way
City
Santa Cruz
State
California
Zip
95065-1819
Phone Number
831-464-5409
Fax Number
person
Provider Business Mailing Address Details
Address
1830 Commercial Way
City
Santa Cruz
State
California
Zip
95065-1819
Phone Number
831-464-5409
Fax Number
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.
()
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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