Kk Mukkavilli PLC
Kk Mukkavilli PLC is a Geriatric Medicine (Internal Medicine) Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2012.
- Licensed in
- AZ
- In the registry since
- 2012
Practice location Address checks out
3333 E Indian School Rd Ste 4Phoenix, AZ 85018-5015
Phone: (602) 852-0200
Fax: (888) 959-8755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RG0300X · Licence MD29911 (AZ) |
|---|
Record details
| NPI number | 1033474119 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lee Pollock — Office Manager · (801) 949-6730 |
| NPI enumerated | July 5, 2012 |
| Last updated in NPPES | August 20, 2012 |
| Mailing address | 3333 E Indian School Rd, Suite 4, Phoenix, AZ 85018-5015 |
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