Ford-Mukkamala, Laura Louise

Ford-Mukkamala, Laura Louise is an individual health care provider with primary practice located at 5959 Big Tree Rd , Orchard Park NY 14127-2291. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Ford-Mukkamala, Laura Louise can be contacted via phone (716) 710-8266.

Contact Information

Primary practice address
5959 Big Tree Rd Orchard Park NY 14127-2291
Phone: (716) 710-8266
Fax: (716) 710-8267
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 265258 New York

Profile Details

NPI number 1306950001
LBN Legal business name Ford-Mukkamala, Laura Louise
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Nov 8th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306950001 NPPES
New York MEDICAID 03489461

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