Individual ProviderVenkata Abhilash Bab MuthineniInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4800 Alberta Ave, Msc 41007, El Paso, TX 79905(915) 215-4116PECOS EnrollmentBased on the most recent information from CMS, provider Venkata Abhilash Bab Muthineni does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1114616968Provider TypeIndividualFull NameMuthineni, Venkata Abhilash BabCredentialMBBSGenderMaleSole ProprietorNoEnumeration Date5/5/2023Last Updated9/25/2023Contact InformationPractice LocationPractice Address4800 Alberta Ave, Msc 41007, El Paso, TX 79905Phone(915) 215-4116FaxUnlisted FaxMailing LocationMailing Address4800 Alberta Ave, Msc 41007, El Paso, TX 79905Phone(915) 215-4116FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseBP10085723TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer