Provider Demographics
NPI:1326368986
Name:MECHINENI, KIRANMAYI VENKATARATNA (MD)
Entity Type:Individual
Prefix:DR
First Name:KIRANMAYI
Middle Name:VENKATARATNA
Last Name:MECHINENI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KIRANMAYI
Other - Middle Name:VENKATARATNA
Other - Last Name:MUDDADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:12221 N MOPAC EXPY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-2401
Mailing Address - Country:US
Mailing Address - Phone:512-901-4013
Mailing Address - Fax:512-901-3913
Practice Address - Street 1:12221 N MOPAC EXPY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-2401
Practice Address - Country:US
Practice Address - Phone:512-901-4013
Practice Address - Fax:512-901-3913
Is Sole Proprietor?:No
Enumeration Date:2010-06-07
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY256315207V00000X
TXN7310207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP01153643OtherRRMDCR
TX286380501Medicaid
TXTXB141021Medicare PIN