Moulika Reddy Bandaru, MD | |
101 Clinic Dr, Tarboro, NC 27886-1935 | |
(252) 823-2105 | |
(252) 823-3164 |
Full Name | Moulika Reddy Bandaru |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 101 Clinic Dr, Tarboro, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427629716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2024-01130 (North Carolina) | Primary |
Entity Name | Vidant Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Mailing Address | Practice Location Address |
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Moulika Reddy Bandaru, MD 101 Clinic Dr, Tarboro, NC 27886-1935 Ph: (252) 823-2105 | Moulika Reddy Bandaru, MD 101 Clinic Dr, Tarboro, NC 27886-1935 Ph: (252) 823-2105 |
Syed Sami Haider, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 111 Hospital Dr, Tarboro, NC 27886 Phone: 252-641-7700 | |
Manisha Tiwari, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 212-423-6771 | |
Ramesh Raj Mishra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-824-1419 | |
Jeffrey Silver, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-2105 | |
Paul Richard Woodard Ii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-824-5061 Fax: 252-824-5011 | |
Dr. Mahdi Sitouah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Hospital Dr, Tarboro, NC 27886 Phone: 285-641-7700 |