Sridevi Mukkamala
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