Provider Demographics
NPI:1760363469
Name:GOVINDARAHAN KAMALA, MRINALINI DEVI
Entity type:Individual
Prefix:
First Name:MRINALINI DEVI
Middle Name:
Last Name:GOVINDARAHAN KAMALA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50/38, JAIN APTS T.F. RATHINVAEL PANDIAN ROAD
Mailing Address - Street 2:GOLDEN GEORGE NAGAR MOGAPPAIR EAST
Mailing Address - City:CHENNAI
Mailing Address - State:TAMILNADU
Mailing Address - Zip Code:600107
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CHILDREN'S HOSPITAL OF MICHIGAN
Practice Address - Street 2:3901 BEAUBIEN BLVD
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-993-0139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program