Individual provider · Type 1 NPI

Mounika Gottumukkala, MD

Student in an Organized Health Care Education/Training Program · Denville, NJ

NPI number 1740007699 Active · reactivated May 1, 2026

Practice location

25 Pocono Road, Gme OFFICE-2ND Floor-C-Wing
Denville, NJ 07834

Call (973) 983-5583 Map

Fax (973) 365-4848

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 1740007699

Mounika Gottumukkala, MD's National Provider Identifier is 1740007699, issued on Sep 23, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Denville, NJ. The record was last updated on May 1, 2026.