Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Raghu Mukkamala, MD

Individual provider Internal Medicine Physician · NPI 1720079395

Raghu Mukkamala, MD is an Internal Medicine in Montgomery, Alabama. Graduated from East Tennessee State University Quillen College of Medicine in 1996, 30 years ago. Practices with Primary Care Internists of Montgomery, PC, a 6-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
30
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
AL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1722 Pine St Ste 309
Montgomery, AL 36106-1103
Phone: (334) 262-0342
Fax: (334) 262-0390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 19804 (AL)

Record details

NPI number1720079395
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 2, 2005
Last updated in NPPESJanuary 28, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Primary Care Internists Of Montgomery, P.C. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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