Organization
BOPANNA MUCKATIRA MD, PA
Active
Organization
BOPANNA MUCKATIRA MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOPANNA MUCKATIRA MD (PHYSICIAN)
(325) 670-6900
Entity
Organization
Contact information
Practice address
1025 CYPRESS ST, ABILENE, TX 79601-4117
(325) 670-6900
(325) 670-6905
Mailing address
1025 CYPRESS ST, ABILENE, TX 79601-4117
(325) 670-6900
(325) 670-6905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059 NA
BCBS
TX
05
—
1795775-01
—
TX
Enumeration date
10/21/2008
Last updated
12/17/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up