# NAGA MUMMANENI MD PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1710429683
- **Authorized official:** DR. NAGAPRASADARAO MUMMANENI MD (PHYSICIAN)
- **Authorized official phone:** (248) 425-8880

## Contact information

- **Practice address:** 4510 MEDICAL CENTER DR STE 150, MCKINNEY, TX 75069-0144
- **Practice address phone:** (972) 668-7460
- **Mailing address:** PO BOX 250794, PLANO, TX 75025-0794
- **Mailing address phone:** (972) 668-7460
- **Mailing address fax:** (972) 474-3423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 4301035894 | MI | — |
| 207L00000X | Anesthesiology Physician | A37672 | CA | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | G4175 | TX | Yes |

## Other

- **Enumeration date:** 11/09/2016
- **Last updated:** 08/19/2022