Mallikarjuna Mukka Md Pa in Fort Worth - Preferred Provider Organization
Mallikarjuna Mukka Md Pa - NPI 1215116660
Mallikarjuna Mukka Md Pa is a Preferred Provider Organization in Fort Worth, Texas. Mallikarjuna Mukka Md Pa practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Mallikarjuna Mukka Md Pa is 1215116660. The last update date is 2020-01-17.
Mallikarjuna Mukka Md Pa's current location address is 6551 Harris Pkwy Ste 110, Fort Worth, Texas. You can contact this provider via phone number 8176243500 and fax number 8175275305. The mailing address for Mallikarjuna Mukka Md Pa is 6551 Harris Pkwy Ste 110, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mallikarjuna Mukka Md Pa |
|---|---|
| Address | 6551 Harris Pkwy Ste 110, Fort Worth, Texas |
| Phone Number | 8176243500 |
| Fax Number | 8175275305 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mukka R Mallikarjuna |
| Credentials | MD |
| Telephone Number | 8176243500 |
NPI Number Detail
| NPI Number | 1215116660 |
|---|---|
| Provider Enumeration Date | 2007-11-01 |
| Last Updated Date | 2020-01-17 |
Provider Mailing Address Detail
| Address | 6551 Harris Pkwy Ste 110 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761326105 |
| Phone Number | 8176243500 |
| Fax Number | 8175275305 |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
| Licence No | L9822 |
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Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 208321401 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mallikarjuna Mukka Md Pa by the Centers for Medicare & Medicaid Services?
The Mallikarjuna Mukka Md Pa has been issued the NPI (National Provider Identifier) 1215116660 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mallikarjuna Mukka Md Pa's facilities are geographically located?
The facilities of Mallikarjuna Mukka Md Pa are physically situated at the following location: 6551 Harris Pkwy Ste 110, Fort Worth, TX, 761326105.
What is Mallikarjuna Mukka Md Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mallikarjuna Mukka Md Pa's specialized field of practice is Preferred Provider Organization, and the corresponding taxonomy code that categorizes this area of specialization is 305R00000X.
On what date was the 1215116660 assigned to Mallikarjuna Mukka Md Pa?
The Mallikarjuna Mukka Md Pa was issued its 1215116660 on 2007-11-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mallikarjuna Mukka Md Pa most recently updated or refreshed?
The details pertaining to the Mallikarjuna Mukka Md Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-01-17.