Provider Demographics
NPI:1467683821
Name:MUKKAI KRISHNAMURTY, DEVI (MBBS)
Entity Type:Individual
Prefix:DR
First Name:DEVI
Middle Name:
Last Name:MUKKAI KRISHNAMURTY
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
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Mailing Address - Street 1:601 N 30TH ST
Mailing Address - Street 2:SUITE 1609
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2137
Mailing Address - Country:US
Mailing Address - Phone:402-280-5250
Mailing Address - Fax:402-449-5641
Practice Address - Street 1:601 N 30TH ST
Practice Address - Street 2:SUITE 1609
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2137
Practice Address - Country:US
Practice Address - Phone:402-280-5250
Practice Address - Fax:402-449-5641
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE6171208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery