Georgia
Composite Medical Board
MUKKAMALA, SHIVANI GUPTA, MD
Medical - Physician
License number
069360
Date granted
03/08/2013
Date expires
03/31/2018
Class
Medical - Physician
Status
Active
Address
1405 CLIFTON RD NE
georgiadoctors.net
ID 38067382
LAST UPDATED 2026-05-13 16:23:41 UTC
LAST UPDATED 2026-05-13 16:23:41 UTC
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