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1457225518 NPI number — GNNANASRIBALA MUKKAMALA NP

NPI Number: 1457225518
Health Care Provider/Practitioner: GNNANASRIBALA MUKKAMALA NP

Information about “1457225518” NPI (GNNANASRIBALA MUKKAMALA NP) exists in 1457225518 in HTML format HTML  |  1457225518 in plain Text format TXT  |  1457225518 in PDF (Portable Document Format) PDF  |  1457225518 in an XML format XML  formats.

NPI Number : 1457225518 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457225518",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MUKKAMALA",
    "FirstName": "GNNANASRIBALA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8319 HIDDEN TRAIL LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPRING",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77379-8723",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-454-6042",
    "MailingAddressFaxNumber": "281-605-6656",
    "FirstLinePracticeLocationAddress": "3600 S GESSNER RD STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77063-5150",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-463-1400",
    "PracticeLocationAddressFaxNumber": "281-463-1432",
    "EnumerationDate": "10/01/2025",
    "LastUpdateDate": "01/11/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP2300X",
        "TaxonomyName": "Primary Care Nurse Practitioner",
        "LicenseNumber": "F09250582",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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