MEDICARE: PADMA NAGALAKSHMI MUNUKUTI 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
1	207R00000X	Internal Medicine Physician	N5269	TX

General Provider Information

NPI Number	:	1972651305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PADMA NAGALAKSHMI MUNUKUTI MD

Provider Business Mailing Address
First Line	:	5495 BELT LINE RD STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-7658
Country	:	US
Telephone Number	:	469-518-4823
Fax Number	:

Provider Business Practice Location Address
First Line	:	5495 BELT LINE RD STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-7658
Country	:	US
Telephone Number	:	469-518-4823
Fax Number	:

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	06/03/2025

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