Provider Demographics
NPI:1386732642
Name:MUKKAMALA, RAMA LAKSHMI (MD)
Entity type:Individual
Prefix:DR
First Name:RAMA
Middle Name:LAKSHMI
Last Name:MUKKAMALA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8160 SEATON PL
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-7204
Mailing Address - Country:US
Mailing Address - Phone:334-272-1799
Mailing Address - Fax:334-272-4876
Practice Address - Street 1:8160 SEATON PL
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-7204
Practice Address - Country:US
Practice Address - Phone:334-272-1799
Practice Address - Fax:334-272-4876
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2014-09-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL24166208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
H49005Medicare UPIN