Mallikarjuna R Mukka, MD | |
6551 Harris Pkwy Ste 110, Fort Worth, TX 76132-6105 | |
(817) 624-3500 | |
(682) 708-7225 |
Full Name | Mallikarjuna R Mukka |
---|---|
Gender | Male |
Speciality | Infectious Disease |
Experience | 28 Years |
Location | 6551 Harris Pkwy Ste 110, Fort Worth, Texas |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487608923 | NPI | - | NPPES |
167966404 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | L9822 (Texas) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | L9822 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Texas Health Harris Methodist Hospital Southwest F | Fort worth, TX | Hospital |
Texas Health Harris Methodist Hospital Fort Worth | Fort worth, TX | Hospital |
Baylor Scott & White All Saints Medical Center Fort Worth | Fort worth, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mallikarjuna Mukka Md Pa | 9436222510 | 5 |
Entity Name | Mallikarjuna Mukka Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215116660 PECOS PAC ID: 9436222510 Enrollment ID: O20080723000160 |
Mailing Address | Practice Location Address |
---|---|
Mallikarjuna R Mukka, MD 6551 Harris Pkwy Ste 110, Fort Worth, TX 76132-6105 Ph: (817) 624-3500 | Mallikarjuna R Mukka, MD 6551 Harris Pkwy Ste 110, Fort Worth, TX 76132-6105 Ph: (817) 624-3500 |
Charles A Carlton, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1622 8th Avenue, Suite 110, Fort Worth, TX 76104 Phone: 817-926-2561 Fax: 817-921-3708 | |
Paul J Garcia, DO Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 5701 Bryant Irvin Rd, Suite 302, Fort Worth, TX 76132 Phone: 817-294-9000 Fax: 817-294-9010 | |
Stevan A Gonzalez, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave, Suite 515, Fort Worth, TX 76104 Phone: 817-922-4675 Fax: 817-922-4645 | |
Jeremy Aaron Ross, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 800 W Magnolia Ave, Fort Worth, TX 76104 Phone: 817-759-7000 Fax: 817-759-7027 | |
Elie B Choufani, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 601 W Terrell Ave, Fort Worth, TX 76104 Phone: 817-852-8305 | |
Syed Hadi Jafri, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1300 W Terrell Ave Fl 2, Fort Worth, TX 76104 Phone: 817-820-4906 Fax: 817-820-4815 | |
Cheryl K Mcdonald, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1125 College Ave, Fort Worth, TX 76104 Phone: 817-810-9810 Fax: 817-810-9815 |