Mukkara, Mamata

Mukkara, Mamata is an individual health care provider with primary practice located at 5632 The Alameda , Baltimore MD 21239-2737. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Mukkara, Mamata can be contacted via phone (617) 480-2348.

Contact Information

Primary practice address
5632 The Alameda Baltimore MD 21239-2737
Phone: (617) 480-2348
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 15876 Maryland

Profile Details

NPI number 1255498861
LBN Legal business name Mukkara, Mamata
Credentials DMD, DSCD, CAGS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jun 14th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255498861 NPPES
District of Columbia MEDICAID 091615433
District of Columbia MEDICAID 109820900

Popular Providers