Mukkavilli, Venkata Marthanda Sastry

Mukkavilli, Venkata Marthanda Sastry is an individual health care provider with primary practice located at 6363 Forest Park Rd Fl 7 Suite 749, Dallas TX 75235-5479. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Mukkavilli, Venkata Marthanda Sastry can be contacted via phone (214) 645-8500.

Contact Information

Primary practice address
6363 Forest Park Rd Fl 7 Suite 749 Dallas TX 75235-5479
Phone: (214) 645-8500
Fax: (214) 648-3775
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X Q3741 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 24594 West Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101258929 Virginia
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X Q3741 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 233251
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Q3741 Texas

Profile Details

NPI number 1992943658
LBN Legal business name Mukkavilli, Venkata Marthanda Sastry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2009
Last updated Dec 30th, 2022 - about 3 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.

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