Individual provider · Type 1 NPI
Shruti Mukkamala, DMD
Dental Anesthesiology · Sugar Land, TX
Practice location
6006 Cranbrook Canyon Ct
Sugar Land, TX 77479-1674
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Anesthesiology Primary | 1223D0004X | 39359 (TX) |
Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
About NPI 1912468588
Shruti Mukkamala, DMD's National Provider Identifier is 1912468588, issued on Mar 27, 2019. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Sugar Land, TX. The record was last updated on Sep 18, 2023.