Phani Mohan Vupadhyayula, | |
1795 Dr Frank Gaston Blvd, Rock Hill, SC 29732-1190 | |
(803) 260-3500 | |
Not Available |
Full Name | Phani Mohan Vupadhyayula |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 21 Years |
Location | 1795 Dr Frank Gaston Blvd, Rock Hill, 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 |
---|---|---|---|
1659523991 | NPI | - | NPPES |
NC1962 | Medicaid | SC | |
40598 | Other | SC | SC MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2013-01115 (North Carolina) | Secondary |
207R00000X | Internal Medicine | 40598 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Caromont Regional Medical Center | Gastonia, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Caromont Medical Group Inc | 3577476258 | 347 |
Valeant Medical Group Pllc | 3274905310 | 2 |
Entity Name | Caromont Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070 |
Mailing Address | Practice Location Address |
---|---|
Phani Mohan Vupadhyayula, 1121 Baltusrol Ln, Waxhaw, NC 28173-9031 Ph: (704) 813-7476 | Phani Mohan Vupadhyayula, 1795 Dr Frank Gaston Blvd, Rock Hill, SC 29732-1190 Ph: (803) 260-3500 |
Murad Abdelsalam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 196 Cardiology Dr, Rock Hill, SC 29732 Phone: 803-324-5135 Fax: 803-324-8161 | |
Talal Tarak Baki, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 196 Cardiology Drive, Rock Hill, SC 29732 Phone: 803-324-5135 Fax: 803-324-8161 | |
Dr. James D Welsh, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1583 Health Care Dr, Rock Hill, SC 29732 Phone: 803-329-7772 Fax: 803-329-9821 | |
Dr. Sreelatha Chalasani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 744 Arden Ln Ste 225, Rock Hill, SC 29732 Phone: 803-329-1660 Fax: 803-329-4118 | |
Myo M Nwe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 744 Arden Ln, #100, Rock Hill, SC 29732 Phone: 803-325-2236 Fax: 803-325-2234 | |
Randolph L Rodrigue, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 170 Amendment Ave, Rock Hill, SC 29732 Phone: 803-324-7607 Fax: 803-324-1449 | |
Dr. Patrick Thomas Ryan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 Herlong Ave S, Rock Hill, SC 29732 Phone: 803-329-1234 |