Organization
MKMD PHYSIATRY CONSULTANTS LLC
Active
Organization
MKMD PHYSIATRY CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHATHY KATUKURI (OWNER)
(248) 631-7496
Entity
Organization
Contact information
Practice address
101 E FLORIDA AVE, MELBOURNE, FL 32901-8301
(248) 631-7496
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
—
—
Other
Enumeration date
03/04/2015
Last updated
05/12/2025
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