Dr. Surya Narayan Mulukutla

MD | Pediatric Endocrinology | Male

---

Complete Profile:

Dr. Surya Narayan Mulukutla basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Endocrinology
Provider Name :	Dr. Surya Narayan Mulukutla
Credential :	MD
Gender :	Male

Business Address:

Dr. Surya Narayan Mulukutla address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2821 Michaelangelo Dr Ste 102b Edinburg, TX, 78539-1411 United States
Phone Number :	956-362-5650
Fax Number :	956-362-2599

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1568690865
NPI Entity Type :	Individual
First Enrolment Date :	24 Jun, 2009
Last Updated On :	28 Mar, 2023

Medicare Participation:

Dr. Surya Narayan Mulukutla participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6103190061
Medicare Enrollment ID :	I20170916000492
Primary Specialty :	Endocrinology
Medical School :	Baylor College Of Medicine
Graduation Year :	2009
Accepts Medicare?	Yes. Dr. Surya Narayan Mulukutla accepts medicare insurance.

Group Practice Association:

Dr. Surya Narayan Mulukutla is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Surya Narayan Mulukutla is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Renaissance Endocrinology	9234361452	10	2821 Michaelangelo Dr Suite 102b Edinburg, TX - 785391411 Ph: 9563625650	Yes
Renaissance Endocrinology	9234361452	10	2609 Michaelangelo Dr Edinburg, TX - 785391417 Ph: 9563625650	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Surya Narayan Mulukutla are as mentioned. Primary taxonomy code for Dr. Surya Narayan Mulukutla, MD is 2080P0205X (Pediatrics, Pediatric Endocrinology).

Taxonomy Code	Speciality	Primary	License No.	State
207RE0101X	Internal Medicine, Endocrinology, Diabetes & Metabolism	No	P4683	TX
2080P0205X	Pediatrics, Pediatric Endocrinology	Yes	P4683	TX

Legacy Identifiers:

Other legacy medical identifiers of Dr. Surya Narayan Mulukutla such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
374872501	MEDICAID	TX

Other Practice Locations:

Practice Address	City, State	Phone Number
2609 MICHAELANGELO DR, EDINBURG, TX, 78539-1417 United States	EDINBURG, TX	956-362-5650

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 2646 Mcallen, TX, 78502-2646 United States
Phone Number :	956-362-5650
Fax Number :	956-362-2599

Business Location:

Patients can refer following map for directions to Dr. Surya Narayan Mulukutla practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.