Individual
SRI B GOTTIMUKKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1400 N COIT RD STE 2502, MCKINNEY, TX 75071-6664
(972) 295-9000
(281) 747-1452
Mailing address
1400 N COIT RD STE 2502, MCKINNEY, TX 75071-6664
(469) 430-0911
(281) 747-1452
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
Q3877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351833401
—
TX
05
—
351833402
—
TX
01
—
8FK130
BLUE CROSS BLUE SHIELD
TX
01
—
8FX392
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/07/2013
Last updated
02/17/2023
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