Individual
MR. VENKATACHALAM MULUKUTLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4301 N MESA ST STE 100, EL PASO, TX 79902-1118
(915) 532-6767
(915) 532-4023
Mailing address
4301 N MESA ST STE 100, EL PASO, TX 79902-1118
(915) 532-6767
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
N3916
TX
207RI0011X
Interventional Cardiology Physician
N3916
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/07/2009
Last updated
03/10/2021
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