MALLIKARJUNA MUKKA MD PA – NPI #1215116660
Internal Medicine

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Health Care Provider Taxonomy Code for Internal Medicine

MALLIKARJUNA MUKKA MD PA is a provider located in FORT WORTH, TX. NPPES has assigned the NPI number 1215116660 to MALLIKARJUNA MUKKA MD PA on November 01, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Infectious Disease

The NPI profile was last updated on Jul 10, 2025. 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 MALLIKARJUNA MUKKA MD PA below.

NPI Profile for
MALLIKARJUNA MUKKA MD PA

NPI Number
1215116660
Enumeration Date

(more than 18 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
MALLIKARJUNA MUKKA MD PA
Primary location
6551 HARRIS PKWY STE 110
FORT WORTH, TX 76132-6105
Phone: (817) 624-3500 Fax: (682) 708-7225
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MALLIKARJUNA MUKKA
OWNER
Phone: (817) 624-3500
Updated
Certification Date
Jul 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MALLIKARJUNA MUKKA MD PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidTX208321401
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
207RI0200X
- Internal Medicine / Infectious Disease (Primary)
305R00000X
- Preferred Provider Organization		 TX L9822

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.