Anil K Mungara, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01069767A Issued in IN

Practice address

3601 SW 160TH Ave
Suite 250
Miramar, FL 33027-6308

Phone

(954) 399-4621

Fax

(877) 892-9770

NPI assigned

Jul 10, 2006

Last updated

Sep 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1437183415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5727 ROSINWEED LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605641635",
            "telephone_number": "773-213-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE",
            "address_2": "SUITE 250",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276308",
            "telephone_number": "954-399-4621",
            "fax_number": "877-892-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGARA",
        "first_name": "ANIL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01069767A",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01069767A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "5315025419",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4888861",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip Kevin Moye, M.D.
• MPS RX Florida LLC (Millennium Pharmacy - Miramar)
• Semko Mudaresi, RNFA
• Mudasiru a Carew DO PA
• Sayed Shoaib Muhammad, M.S.P.T.
• Greilys Munoz Diaz
• Yixi Munoz Mesa
• Alyssa Luisa Munoz, APRN
• Cristhian Jose Munoz
• Maritza Munoz, BEHAVIOR TECHNICIAN

• Family Medicine Physician in Miramar, FL
• Providers in Miramar, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.