| Atrium Medical Group Mukunda Llc | |
|
6559 Wilson Mills Rd Ste 106 Mayfield Village OH 44143-3433 | |
| (855) 449-1540 | |
| (440) 672-5068 |
| Full Name | Atrium Medical Group Mukunda Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6559 Wilson Mills Rd Ste 106, Mayfield Village, Ohio |
| Authorized Official Name and Position | Beejadi N Mukunda (PRESIDENT) |
| Authorized Official Contact | 8554491540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atrium Medical Group Mukunda Llc Po Box 952041 Cleveland OH 44193-0051 Ph: (855) 449-1540 | Atrium Medical Group Mukunda Llc 6559 Wilson Mills Rd Ste 106 Mayfield Village OH 44143-3433 Ph: (855) 449-1540 |
| NPI Number | 1578267647 |
|---|---|
| Provider Enumeration Date | 03/30/2023 |
| Last Update Date | 05/09/2024 |
| Medicare PECOS PAC ID | 1153787007 |
|---|---|
| Medicare Enrollment ID | O20230518001083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578267647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Beejadi N Mukunda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225087208 PECOS PAC ID: 3375447782 Enrollment ID: I20031204000091 |
| Provider Name | Dana Michelle Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487132312 PECOS PAC ID: 0143579250 Enrollment ID: I20180823000479 |
| Provider Name | Lyndsey Rachelle Decesare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912540543 PECOS PAC ID: 9537551502 Enrollment ID: I20220125001361 |
| Provider Name | Kylie Cremer Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528841889 PECOS PAC ID: 7911353313 Enrollment ID: I20231020001487 |
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