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NPI Code Detail

MEDICARE: SUDHA S MOKKAPATI PHARMD

MEDICARE: SUDHA S MOKKAPATI PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP450012PA

General Provider Information

NPI Number : 1447615240
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUDHA S MOKKAPATI PHARMD
Provider Business Mailing Address
First Line : 4720 YORKSHIRE DR
Second Line :
City : MACUNGIE
State : PA
Zip : 18062-8256
Country : US
Telephone Number : 601-504-2353
Fax Number :
Provider Business Practice Location Address
First Line : 6201 GERMANTOWN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19144-2033
Country : US
Telephone Number : 215-713-2695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2015
Last Update Date : 12/21/2015

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Directions to “ SUDHA S MOKKAPATI PHARMD” Practice Location

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