Dr. Shiva Kumar Reddy Mukkamalla
Hematologist
8300 Constitution Ave Ne
Albuquerque
, New Mexico 87110-7613
Dr. Shiva Kumar Reddy Mukkamalla
Hematologist
8300 Constitution Ave Ne
Albuquerque
, New Mexico 87110-7613
(505) 923-5354
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About
Features
Specialties
- Hematologist
Languages spoken
- English
Location
First Address
- Dr. Shiva Kumar Reddy Mukkamalla
- Po Box 26666 Phs Provider Enrollment
- Albuquerque, NM
- Zip : 87125-6666
- Fax : (505) 923-5354
- Phone : (505) 923-6770
Second Address
- Dr. Shiva Kumar Reddy Mukkamalla
- 8300 Constitution Ave Ne
- Albuquerque, NM
- Zip : 87110-7613
- Phone : (505) 559-6100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0000X | Hematologist | MD2017-0778 | NM |
National Provider Identifier
| NPI | 1013268077 |
|---|---|
| Provider Name | Dr. Shiva Kumar Reddy Mukkamalla |
| First Address | Albuquerque, NM 87125-6666 |
| Second Address | Albuquerque, NM 87110-7613 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2012 |
| Last Update Date | 10/05/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.