Individual
DR. ROY BHARATH MUKKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 S BUENA VISTA ST STE 100, BURBANK, CA 91505-4570
(818) 848-6404
(818) 848-7112
Mailing address
201 S BUENA VISTA ST STE 100, BURBANK, CA 91505-4570
(818) 848-6404
(818) 848-7112
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
136888
CA
207R00000X
Internal Medicine Physician
268278
NY
207RI0011X
Interventional Cardiology Physician
Primary
A136888
CA
Other
Enumeration date
04/12/2011
Last updated
02/23/2023
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