Provider Demographics
NPI:1093393696
Name:BUDDHA, MGN MRINALINI (MD)
Entity Type:Individual
Prefix:
First Name:MGN MRINALINI
Middle Name:
Last Name:BUDDHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MRINALINI
Other - Middle Name:
Other - Last Name:BUDDHA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7575 CAMBRIDGE ST APT 3201
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2037
Mailing Address - Country:US
Mailing Address - Phone:346-269-4647
Mailing Address - Fax:
Practice Address - Street 1:7575 CAMBRIDGE ST APT 3201
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2037
Practice Address - Country:US
Practice Address - Phone:346-269-4647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program