Srikanth Mudumba
Pharmacist · Clearlake, CA
Practice location
15230 Lakeshore DrClearlake, CA 95422-8107
- Phone
- (707) 994-3141
NPI record
- NPI
- 1962043174
- Entity type
- Individual (Type 1)
- Enumeration date
- September 30, 2019
- Last updated
- September 30, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X |
64289 | CA |
About Srikanth Mudumba
Srikanth Mudumba is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 15230 Lakeshore Dr, Clearlake, CA 95422-8107. The NPI number 1962043174 was assigned on September 30, 2019 and the record was last updated on September 30, 2019.
Srikanth Mudumba lists a license in the registry: #64289 (CA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Srikanth Mudumba?
The NPI number is 1962043174.
What is the phone number of Srikanth Mudumba?
The phone number listed for the practice location is (707) 994-3141.
Where is Srikanth Mudumba located?
15230 Lakeshore Dr, Clearlake, CA 95422-8107.
What is the taxonomy code for Srikanth Mudumba?
The primary taxonomy code is 183500000X – Pharmacist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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