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NPI Code Detail

MEDICARE: MRS. APARNA MUKKAMALA MD

MEDICARE: MRS. APARNA MUKKAMALA MD
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
1208100000XPhysical Medicine & Rehabilitation PhysicianL8137TX

General Provider Information

NPI Number : 1770552416
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. APARNA MUKKAMALA MD
Provider Business Mailing Address
First Line : PO BOX 678397
Second Line :
City : DALLAS
State : TX
Zip : 75267-8397
Country : US
Telephone Number : 972-236-6800
Fax Number : 972-888-7079
Provider Business Practice Location Address
First Line : 850 CENTRAL PKWY E STE 275
Second Line :
City : PLANO
State : TX
Zip : 75074-5542
Country : US
Telephone Number : 972-881-4688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2006
Last Update Date : 10/29/2024

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