Provider Demographics
NPI:1407042757
Name:MAKKENA, BABU (MD)
Entity Type:Individual
Prefix:DR
First Name:BABU
Middle Name:
Last Name:MAKKENA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 N MACARTHUR BLVD
Mailing Address - Street 2:SUITE 1070
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-2490
Mailing Address - Country:US
Mailing Address - Phone:409-599-8947
Mailing Address - Fax:
Practice Address - Street 1:3537 S I 35 E
Practice Address - Street 2:SUITE 200
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6800
Practice Address - Country:US
Practice Address - Phone:504-304-8326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3307207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology