Kk Mukkavilli PLC
NPI 1033474119ActiveOrganization· Internal Medicine, Geriatric Medicine· Phoenix, AZ
Internal Medicine, Geriatric Medicine in Phoenix, Arizona, registered in NPPES in July 2012. The authorized official on file is Lee Pollock, Office Manager.
Overview
| NPI | 1033474119 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 5, 2012 |
| Last updated in NPPES | Aug 20, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | MD29911 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other geriatricians in Phoenix
- 1265488258
- 1689162307
- 1184208241
- 1790745503
- 1043267743
- 1114040862
- 1821787177
- 1861137952
- 1053826354
- 1215021928
- 1255216321
- 1437457058
All 22 geriatricians in Phoenix · All geriatricians in Arizona