Active NPIIndividual provider

Dr. Kiran Mullur, MD

Family Medicine in Winston Salem, North Carolina

NPI Number1164982880
Practice location
1 Medical Center Boulevard, Winston Salem, NC 27157-0001
Fax
—
Last updated
August 12, 2026

Kiran Mullur is a Family Medicine based in Winston Salem, NC. Kiran Mullur practices in Winston Salem, NC and has the professional credentials of MD. The NPI Number for Kiran Mullur is 1164982880 and holds a License No. 0101288534 (VA). The current practice location address for Kiran Mullur is 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 and can be reached out via phone at 336-716-4479.

Provider Profile Details

NPI Number
1164982880
Provider Name
Kiran Mullur
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Center Boulevard, Winston Salem, NC 27157-0001
Phone Number
336-716-4479
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
March 20, 2019
Last Update Date
August 12, 2026
Certification Date
August 12, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Medical Center Boulevard
Winston Salem, NC 27157-0001
Zip
27157-0001
Phone Number
336-716-4479
Winston Salem, NC 27157Get directions →

Provider Business Mailing Address Details

Address
1 Jonathan Ave
Millbury, MA 01527-3950
City
Millbury
State
MA
Zip
01527-3950
Phone Number
508-450-1534

License Information

License Number (1)
0101288534
License State (1)
VA
Taxonomy (1)
Family Medicine, Sports Medicine · 207QS0010X
License Number (3)
0101288534
License State (3)
VA
Taxonomy (3)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kiran Mullur, MD?

The NPI number of Dr. Kiran Mullur, MD is 1164982880. It was assigned on March 20, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Kiran Mullur, MD?

Dr. Kiran Mullur, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in VA under license number 0101288534.

Where does Dr. Kiran Mullur, MD practice?

The practice location is 1 Medical Center Boulevard, Winston Salem, NC 27157-0001. The office can be reached at 336-716-4479 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164982880 directly on the NPPES registry website.

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