Provider Demographics
NPI:1437905304
Name:MAMAH, CHICHETARAM RUTH (MBBS)
Entity type:Individual
Prefix:DR
First Name:CHICHETARAM
Middle Name:RUTH
Last Name:MAMAH
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:DR
Other - First Name:CHICHETARAM
Other - Middle Name:RUTH
Other - Last Name:OTU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 ST ANDREWS CLOSE
Mailing Address - Street 2:
Mailing Address - City:IPSWICH
Mailing Address - State:SUFFOLK
Mailing Address - Zip Code:IP45SJ
Mailing Address - Country:GB
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF TENNESSEE, 920 MADISON AVENUE SUITE 447
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38163
Practice Address - Country:US
Practice Address - Phone:901-448-5814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-30
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program