Mukka, Mallikarjuna R.
Mukka, Mallikarjuna R. is an individual health care provider with primary practice located at 6551 Harris Pkwy Ste 110 , Fort Worth TX 76132-6105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Mukka, Mallikarjuna R. can be contacted via phone (817) 624-3500.Contact Information
Primary practice address
6551 Harris Pkwy Ste 110
Fort Worth TX 76132-6105
Phone: (817) 624-3500
Fax: (682) 708-7225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L9822 | Texas |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | L9822 | Texas |
Profile Details
| NPI number | 1487608923 |
|---|---|
| LBN Legal business name | Mukka, Mallikarjuna R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jan 17th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487608923 | NPPES |
| Texas | MEDICAID | 167966404 |
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