Individual
DR. MAHATHY KATUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 E FLORIDA AVE, MELBOURNE, FL 32901-8301
(321) 984-4600
Mailing address
6414 MODERN DURAN DR, MELBOURNE, FL 32940-2832
(248) 631-7496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME116046
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014778300
—
FL
01
—
O1681
MEDICARE HF
FL
Enumeration date
05/08/2009
Last updated
09/09/2025
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