Dr Raju Manga Vanapalli, MD | |
1115 Mount Zion Rd, Suite J, Morrow, GA 30260-2266 | |
(770) 968-7421 | |
(770) 960-0078 |
Full Name | Dr Raju Manga Vanapalli |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 1115 Mount Zion Rd, Morrow, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255398962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 22656 (Georgia) | Primary |
Entity Name | Southern Regional Physicians Management Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043677271 PECOS PAC ID: 9032491956 Enrollment ID: O20170127002483 |
Mailing Address | Practice Location Address |
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Dr Raju Manga Vanapalli, MD 1115 Mount Zion Rd, Suite J, Morrow, GA 30260-2266 Ph: (770) 968-7421 | Dr Raju Manga Vanapalli, MD 1115 Mount Zion Rd, Suite J, Morrow, GA 30260-2266 Ph: (770) 968-7421 |
Dr. Scott J Cahoon, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6635 Lake Dr, Morrow, GA 30260 Phone: 770-968-1323 Fax: 770-968-4556 | |
Dr. Peter S. Harvey, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6635 Lake Dr, Morrow, GA 30260 Phone: 770-968-1323 Fax: 770-968-4556 | |
Dr. Christopher J. Walsh, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6635 Lake Dr, Morrow, GA 30260 Phone: 770-968-1323 Fax: 770-968-4556 |