Surya Narayan Mulukutla (NPI# 1568690865, PAC ID# 6103190061) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1568690865 |
| PAC ID by PECOS | 6103190061 |
| Professional Enrollment ID | I20170916000492 |
| Full Name | Surya Narayan Mulukutla |
| Organization Legal Name | RENAISSANCE ENDOCRINOLOGY |
| Address |
2821 Michaelangelo Dr Suite 102a Edinburg TX 78539-1404 |
| Phone Number | 9563623609 |
| Gender | M |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 9234361452 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450869 | DOCTORS HOSPITAL AT RENAISSANCE |
| 450128 | KNAPP MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2609 Michaelangelo Dr, Edinburg, TX 78539-1417 | 9563625650 | RENAISSANCE ENDOCRINOLOGY |
| 2821 Michaelangelo Dr, Suite 102a, Edinburg, TX 78539-1404 | 9563623609 | RENAISSANCE ENDOCRINOLOGY |
| Organization Legal Name | RENAISSANCE ENDOCRINOLOGY |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melany Castillo Suarez | Endocrinology | Renaissance Endocrinology | 2609 Michaelangelo Dr, Edinburg, TX 78539-1417 |
| Mindy Ann Garces | Nurse Practitioner | Renaissance Endocrinology | 2609 Michaelangelo Dr, Edinburg, TX 78539-1417 |
| Mayra Judith Cantazaro | Nurse Practitioner | Renaissance Endocrinology | 2609 Michaelangelo Dr, Edinburg, TX 78539-1417 |
| Juan D Palacios Merchan | Endocrinology | Renaissance Endocrinology | 2609 Michaelangelo Dr, Edinburg, TX 78539-1417 |
| Marcel B Twahirwa | Endocrinology | Renaissance Endocrinology | 4770 N Expressway, Suite 305b, Brownsville, TX 78526-3108 |
| Aida Coronado Garcia | Nurse Practitioner | Renaissance Endocrinology | 4770 N Expressway, Suite 305b, Brownsville, TX 78526-3108 |
| Yadira S Garcia | Registered Dietitian Or Nutrition Professional | Renaissance Endocrinology | 2609 Michaelangelo Dr, Edinburg, TX 78539-1417 |
| Lizlette Quintanilla | Registered Dietitian Or Nutrition Professional | Renaissance Endocrinology | 2609 Michaelangelo Dr, Edinburg, TX 78539-1417 |
| Alexandra Garza-ibanez | Registered Dietitian Or Nutrition Professional | Renaissance Endocrinology | 2609 Michaelangelo Dr, Edinburg, TX 78539-1417 |
| Street Address |
2821 MICHAELANGELO DR SUITE 102A |
| City | EDINBURG |
| State | TX |
| Zip | 78539-1404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cherie J Johnson | Obstetrics/gynecology | Renaissance Medical Foundation | 2821 Michaelangelo Dr, Suite 401, Edinburg, TX 78539-1405 |
| Zuka A Khabbazeh | Neurology | Renaissance Medical Foundation | 2821 Michaelangelo Dr, Suite 306, Edinburg, TX 78539-1418 |
| Ronald Yang | Physician Assistant | Ricardo Abreu, M.d., Pa | 2821 Michaelangelo Dr, Suite 303, Edinburg, TX 78539-1405 |
| Achal Parsotam Patel | Neurosurgery | Renaissance Medical Foundation | 2821 Michaelangelo Dr, Suite 304, Edinburg, TX 78539-1405 |
| Myra Leigh De La Garza | Nurse Practitioner | University of Texas Rio Grande Valley | 2821 Michaelangelo Dr, Suite 202, Edinburg, TX 78539-1406 |
| Elissa Test Serapio | Obstetrics/gynecology | University of Texas Rio Grande Valley | 2821 Michaelangelo Dr, Suite 400, Edinburg, TX 78539-1405 |
| Stefan W Shuaib | Otolaryngology | Renaissance Medical Foundation | 2821 Michaelangelo Dr, Suite 303, Edinburg, TX 78539-1405 |
| Laura Gephart | Obstetrics/gynecology | University of Texas Rio Grande Valley | 2821 Michaelangelo Dr, Suite 400, Edinburg, TX 78539-1405 |
| Amery Yang | Physician Assistant | Ricardo Abreu, M.d., Pa | 2821 Michaelangelo Dr, Suite 303, Edinburg, TX 78539-1405 |
| Patricia M Fernandez | Neurosurgery | Renaissance Medical Foundation | 2821 Michaelangelo Dr, Suite 304, Edinburg, TX 78539-1405 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison H Garza | Family Medicine | 2046 S Mccoll Rd, Edinburg, TX 78539-0228 | |
| Oscar J Garcia | Radiation Oncology | 2717 Michael Angelo, Edinburg, TX 78539-1403 | |
| Luis A Ramirez | Obstetrics/gynecology | Rodolfo M. Lozano Md Pa | 2821 Michael Angelo, Suite 100, Edinburg, TX 78539-1404 |
| Rodolfo M Lozano | Obstetrics/gynecology | Rodolfo M. Lozano Md Pa | 2821 Michael Angelo, Suite 100, Edinburg, TX 78539-1404 |
| Lyuba Levine | Gynecological Oncology | University of Texas Rio Grande Valley | 2821 Michaelangelo Dr, Suite 400, Edinburg, TX 78539-1405 |
| Pamela D Parker | Obstetrics/gynecology | University of Texas Rio Grande Valley | 2821 Michaelangelo Dr, Suite 400, Edinburg, TX 78539-1405 |
| Brian W Ingram | Physician Assistant | Ricardo Abreu, M.d., Pa | 2821 Michaelangelo Dr, Suite 303, Edinburg, TX 78539-1405 |
| Simon Milov | Otolaryngology | Renaissance Medical Foundation | 2821 Michaelangelo Dr, Suite 303, Edinburg, TX 78539-1405 |
| Joseph Anthony Ogburn | Obstetrics/gynecology | University of Texas Rio Grande Valley | 2821 Michaelangelo Dr, Edinburg, TX 78539-1405 |
| Efraim Vela Jr. | Obstetrics/gynecology | Renaissance Medical Foundation | 2821 Michaelangelo Dr, Suite 400, Edinburg, TX 78539-1405 |
| Find all physicians in zip 78539 | |||
| City | EDINBURG |
| Zip Code | 78539 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | EDINBURG + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Surya Narayan Mulukutla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.