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NPI Code Detail

MEDICARE: MOUNIKA AKULA DDS

MEDICARE:   MOUNIKA  AKULA  DDS
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
11223G0001XGeneral Practice Dentistry24694FL
21223G0001XGeneral Practice Dentistry24684FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558995274
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOUNIKA AKULA DDS
Provider Business Mailing Address
First Line : 10648 SAVANNAH PLANTATION CT
Second Line :
City : ORLANDO
State : FL
Zip : 32832-5100
Country : US
Telephone Number : 803-338-4295
Fax Number :
Provider Business Practice Location Address
First Line : 2907 VINELAND RD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-5505
Country : US
Telephone Number : 407-396-1288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2020
Last Update Date : 03/11/2022

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Directions to “ MOUNIKA AKULA DDS” Practice Location

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