# MKMD PHYSIATRY CONSULTANTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477945186
- **Authorized official:** MAHATHY KATUKURI (OWNER)
- **Authorized official phone:** (248) 631-7496

## Contact information

- **Practice address:** 101 E FLORIDA AVE, MELBOURNE, FL 32901-8301
- **Practice address phone:** (248) 631-7496
- **Mailing address:** 6414 MODERN DURAN DR, MELBOURNE, FL 32940-2832
- **Mailing address phone:** (248) 631-7496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2015
- **Last updated:** 05/12/2025