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Sridevi Mukkamala

  • Female

Medical Specialty

Professional ID

  • NPI: 1982631727
  • PECOS ID: 6608800156
  • Enrollment ID: I20101129000271
  • Credential(MD, DO, DPM): MD
  • Medical School:
  • Medical School Graduation Year: 1997

Hospital Service

  • Hospital CCN1: 450563
  • Business Name (LBN)1: Baylor Scott White Medical Center Grapevine
  • Hospital CCN2: 450021
  • Business Name (LBN)2: Baylor University Medical Center
  • Hospital CCN3: 450893
  • Business Name (LBN)3: The Heart Hospital Baylor Denton
  • Hospital CCN4: 450639
  • Business Name (LBN)4: Texas Health Harris Methodist Hurst-euless-bedford
  • Hospital CCN5: 670025
  • Business Name (LBN)5: The Heart Hospital Baylor Plano

Medical Practices

  • Organization Name: Healthtexas Provider Network
  • Group Practice ID assigned by PECOS: 1355254210
  • Number of Group Practice member: 900

Location

  • Address1: 4001 Worth St
  • Address2: Suite A
  • City: Dallas
  • State: Texas
  • Zip Code: 75246
  • Phone Number: (214)820-8665

Location

  • Address1: 8080 N Central Expy
  • Address2: Suite 600 Lb82
  • City: Dallas
  • State: Texas
  • Zip Code: 75206
  • Phone Number: (972)860-8648

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR): Yes