Mukkamalla, Vijayalakshmi

Mukkamalla, Vijayalakshmi is an individual health care provider with primary practice located at 2701 17Th St , Rock Island IL 61201-5351. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mukkamalla, Vijayalakshmi can be contacted via phone (309) 779-3101.

Contact Information

Primary practice address
2701 17Th St Rock Island IL 61201-5351
Phone: (309) 779-3101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125059042 Illinois

Profile Details

NPI number 1073883674
LBN Legal business name Mukkamalla, Vijayalakshmi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2012
Last updated Jul 21st, 2022 - about 2 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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