Provider Type Icon

KK MUKKAVILLI PLC NPI 1033474119


NPI Information

NPI: 1033474119
Provider Name: KK MUKKAVILLI PLC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
3333 E INDIAN SCHOOL RD
SUITE 4
PHOENIX, AZ
ZIP 85018
Phone: (602) 852-0200
Get Directions

KK MUKKAVILLI PLC is a geriatric medicine internal medicine in Phoenix, AZ. The provider is 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 NPI is 1033474119. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3333 E INDIAN SCHOOL RD
SUITE 4
PHOENIX, AZ
ZIP 85018-015
Phone: (602) 852-0200
Fax: (888) 959-8755

The provider's authorized official is Lee Pollock .
The authorized official title is Office Manager and has the following contact phone number (801) 949-6730.

The enumeration date for this NPI number is 7/5/2012 and was last updated on 8/20/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric MedicineMD29911ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.