Sri Venkat PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N3914 Issued in TX

Legal business name

SRI VENKAT PLLC

Practice address

6512 Deseo
Apt 126
Irving, TX 75039-3227

Phone

(817) 688-3433

Fax

(214) 723-7650

NPI assigned

Nov 29, 2012

Last updated

Nov 29, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Harichandana Mukkamalla, M.D

Title

President

Phone

(817) 688-3433

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1073858106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6512 DESEO",
            "address_2": "APT 126",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393227",
            "telephone_number": "817-688-3433",
            "fax_number": "214-723-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 DESEO",
            "address_2": "APT 126",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393227",
            "telephone_number": "817-688-3433",
            "fax_number": "214-723-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRI VENKAT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "MUKKAMALLA",
        "authorized_official_first_name": "HARICHANDANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-688-3433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N3914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spring Dental-Tulsa
• Sprite Health Mso, Inc.
• Sr Surgical Assistants, LLC
• Sree-Doc Urgent Care Management LLC (Macarthur Urgent & Family Care)
• Jayaprakash Sreenarasimhaiah, MD
• Srilatha a. Reddy, M.D., P.a
• SSC Chiropractic, P.a. (Spinal Specialist Clinic)
• St Frances Home Health Agency
• St Jude's Home Health Agency (N/a)
• St Onge Chiropractic & Sports Therapy

• Internal Medicine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.