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1841271053
THRESIAMMA A MUKKADA
EDGEWOOD, KY
NPI
1841271053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: KY 23917)
Enumeration Date
2005-11-07
Last Update Date
2008-02-21
Business Address
-- THRESIAMMA A MUKKADA MD
1 MEDICAL VILLAGE DR INDEPENDENT ANESTHESIOLOGISTS PSC
EDGEWOOD, KY 41017-3403
Phone number: 859-341-7246
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Mailing Address
-- THRESIAMMA A MUKKADA MD
20 MEDICAL VILLAGE DR SUITE 258
EDGEWOOD, KY 41017-5401
Phone number: 859-341-7246
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