MEDICARE: DR. RAMAKRISHNA MULUKUTLA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	173000000X	Legal Medicine	TXBE4618	TX
2	207P00000X	Emergency Medicine Physician	E4618	TX
3	208000000X	Pediatrics Physician	E4618	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	E4618	OTHER	TX	TEX LIC

General Provider Information

NPI Number	:	1972615888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMAKRISHNA MULUKUTLA M.D.

Provider Business Mailing Address
First Line	:	3845 S PADRE ISLAND DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78415-2919
Country	:	US
Telephone Number	:	361-854-4626
Fax Number	:	361-851-5193

Provider Business Practice Location Address
First Line	:	3845 S PADRE ISLAND DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78415-2919
Country	:	US
Telephone Number	:	361-854-4626
Fax Number	:	361-851-5193

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	04/24/2025

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Directions to “ DR. RAMAKRISHNA MULUKUTLA M.D.” Practice Location

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