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Individual

BOPANNA MUCKATIRA

Active
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Individual

BOPANNA MUCKATIRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301065426
MI
207R00000X
Internal Medicine Physician
Primary
L4072
TX
208M00000X
Hospitalist Physician
4301065426
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0059NA
BCBSTX
TX
05
1795775-01
TX
01
BM065426
BCBSM
MI
Enumeration date
06/20/2005
Last updated
12/17/2025
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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