KK MUKKAVILLI PLC – NPI #1033474119
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

KK MUKKAVILLI PLC is a provider located in PHOENIX, AZ. NPPES has assigned the NPI number 1033474119 to KK MUKKAVILLI PLC on July 05, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 14 years ago on Aug 20, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KK MUKKAVILLI PLC below.

NPI Profile for
KK MUKKAVILLI PLC

NPI Number
1033474119
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KK MUKKAVILLI PLC
Primary location
3333 E INDIAN SCHOOL RD
SUITE 4
PHOENIX, AZ 85018-5015
Phone: (602) 852-0200 Fax: (888) 959-8755
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LEE POLLOCK
OFFICE MANAGER
Phone: (801) 949-6730
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)
AZ MD29911

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.