MEDICARE: MR. AKHIL MULPURU

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	171M00000X	Case Manager/Care Coordinator		VA

General Provider Information

NPI Number	:	1861349037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. AKHIL MULPURU

Provider Business Mailing Address
First Line	:	3620 JOSEPH SIEWICK DR STE 203
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22033-1756
Country	:	US
Telephone Number	:	703-941-0267
Fax Number	:

Provider Business Practice Location Address
First Line	:	3620 JOSEPH SIEWICK DR STE 203
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22033-1756
Country	:	US
Telephone Number	:	703-941-0267
Fax Number	:

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

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/26/2026

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