Dr Mudunuri V Raju, MD | |
200 Fleetwood Dr, Easley, SC 29640 | |
(864) 442-7200 | |
Not Available |
Full Name | Dr Mudunuri V Raju |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 36 Years |
Location | 200 Fleetwood Dr, Easley, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124095484 | NPI | - | NPPES |
1316155112 | Other | SC | GROUP NPI |
T48874 | Medicaid | SC | |
110200011 | Other | SC | RAILROAD MEDICARE |
1124095484 | Other | SC | NPI |
P00437301 | Other | SC | RAILROAD MEDICARE |
GP4690 | Medicaid | SC | |
P00209467 | Other | SC | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 20898 (South Carolina) | Secondary |
207R00000X | Internal Medicine | 20898 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ghs Laurens County Memorial Hospital | Clinton, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prisma Health University Medical Group | 8325950983 | 2206 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686 |
Entity Name | Apogee Medical Group South Carolina |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619028545 PECOS PAC ID: 8921193020 Enrollment ID: O20071004000474 |
Entity Name | Pelham Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619133568 PECOS PAC ID: 2365519097 Enrollment ID: O20080923000329 |
Entity Name | Baptist Easley Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144452889 PECOS PAC ID: 0840337606 Enrollment ID: O20091027000684 |
Mailing Address | Practice Location Address |
---|---|
Dr Mudunuri V Raju, MD 1 Independence Pt Ste 212, Greenville, SC 29615-4536 Ph: (864) 797-6174 | Dr Mudunuri V Raju, MD 200 Fleetwood Dr, Easley, SC 29640 Ph: (864) 442-7200 |
Geanice Holton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1648 Gentry Memorial Hwy, Easley, SC 29640 Phone: 864-855-1331 Fax: 864-855-1602 | |
Mrs. Jacquelyn Nicole Greene, FNP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-455-7000 Fax: 864-442-8279 | |
Lauren D Roberts, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 Fax: 864-442-8279 | |
Dr. Andrea Shavonne James, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 Fax: 864-422-8279 | |
Imranullah Shaikh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 Fax: 864-442-8279 | |
Dr. Ka Kin Fung, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 | |
Dr. Aftab A Awan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 129 Fleetwood Dr, Easley, SC 29640 Phone: 864-855-4255 Fax: 864-855-4439 |