Mounika Guduru, MD | |
78 Medical Center Dr, Fishersville, VA 22939-2332 | |
(540) 332-4400 | |
(540) 332-4490 |
Full Name | Mounika Guduru |
---|---|
Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 78 Medical Center Dr, Fishersville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568983484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 8184 (Nebraska) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 0101280886 (Virginia) | Primary |
Entity Name | Augusta Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245489590 PECOS PAC ID: 3678632544 Enrollment ID: O20081106000590 |
Entity Name | Augusta Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720717044 PECOS PAC ID: 1355248212 Enrollment ID: O20221229000080 |
Mailing Address | Practice Location Address |
---|---|
Mounika Guduru, MD Po Box 388, Fishersville, VA 22939-0388 Ph: () - | Mounika Guduru, MD 78 Medical Center Dr, Fishersville, VA 22939-2332 Ph: (540) 332-4400 |
Mr. Sean N Higginson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-932-4075 Fax: 540-932-5199 | |
Dr. Todd A Goodnight, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-332-4400 Fax: 540-332-4490 | |
Dr. Robert Kyler, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-245-7000 Fax: 540-245-7202 | |
Tyler A Dailey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-932-4400 Fax: 540-932-4490 | |
Bradley M Tipler, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-332-4400 Fax: 540-332-4490 | |
Christina T. Miller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-332-4400 Fax: 540-332-4490 |