Provider Demographics
NPI:1972615888
Name:MULUKUTLA, RAMAKRISHNA (MD)
Entity type:Individual
Prefix:DR
First Name:RAMAKRISHNA
Middle Name:
Last Name:MULUKUTLA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:RAMAKRISHNA
Other - Middle Name:
Other - Last Name:MULUKUTLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3845 S PADRE ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78415-2919
Mailing Address - Country:US
Mailing Address - Phone:361-854-4626
Mailing Address - Fax:361-851-5193
Practice Address - Street 1:3845 S PADRE ISLAND DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78415-2919
Practice Address - Country:US
Practice Address - Phone:361-854-4626
Practice Address - Fax:361-851-5193
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTXBE4618173000000X
TXE4618207P00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No173000000XOther Service ProvidersLegal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138974410Medicaid
TXE4618OtherTEX LIC
TX138974410Medicaid