Most Relevant Information
Provider Data
| NPI Number: | 1003310707 |
| Provider Name: | MADHULIKA MAMIDI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/19/2018 |
| Last Updated: | 10/31/2024 |
Provider Practice Location
6350 GLENWAY AVE # 4
CINCINNATI
OH
452116378
Practice Location Phone/Fax
| Phone: | 5134810900 |
| Fax: | 5134810904 |
Provider Mailing Location
6350 GLENWAY AVE # 4
CINCINNATI
OH
452116378
Provider Mailing Phone/Fax
| Phone: | 5134810900 |
| Fax: | 5134810904 |