Rajasekhar Reddy Mulyala, MD | |
200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | |
(770) 534-2020 | |
Not Available |
Full Name | Rajasekhar Reddy Mulyala |
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Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 200 S Enota Dr Ne Ste 100, Gainesville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1922255868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 4301092564 (Michigan) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 101690 (Georgia) | 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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Rajasekhar Reddy Mulyala, MD 200 S Enota Dr Ne Ste 200, Gainesville, GA 30501-3466 Ph: (770) 848-7884 | Rajasekhar Reddy Mulyala, MD 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 Ph: (770) 534-2020 |
James D Jackson, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1285 Sims St, Gainesville, GA 30501 Phone: 770-219-8583 | |
Dr. Nitya S Chandra, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501 Phone: 770-534-2020 Fax: 770-534-8025 | |
Dr. Lisa Armsrees Gillespie, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8420 | |
Dr. Noelle Claudine Stanley, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1211 Sherwood Park Dr Ne Ste B, Gainesville, GA 30501 Phone: 770-219-9179 | |
Kedric Naylor, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 Fax: 770-538-7872 | |
Dr. William Nathan Blake, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Ngpg Inpatient Medicine, Gainesville, GA 30501 Phone: 770-219-6000 Fax: 770-219-6021 | |
Roberto Manuel Villanueva, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501 Phone: 770-536-9864 |