Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Irada Mamukadze, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568037273

Irada Mamukadze, MD is a Student in an Organized Health Care Education/Training Program in Lansing, Michigan. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 E Michigan Ave Ste 655
Lansing, MI 48912-1837
Phone: (937) 219-1095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1568037273
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 25, 2021
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021

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