Individual provider · Type 1 NPI

Irada Mamukadze, MD

Student in an Organized Health Care Education/Training Program · Lansing, MI

NPI number 1568037273 Active

Practice location

1200 E Michigan Ave Ste 655
Lansing, MI 48912-1837

Call (937) 219-1095 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1568037273

Irada Mamukadze, MD's National Provider Identifier is 1568037273, issued on May 25, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lansing, MI. The record was last updated on May 25, 2021.