| Chamundambika Shanmugam, MD | |
|
520 S Van Buren Rd, Suite 2, Eden, NC 27288-5042 | |
| (336) 635-6809 | |
| (336) 635-6862 |
| Full Name | Chamundambika Shanmugam |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 520 S Van Buren Rd, Eden, 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 |
|---|---|---|---|
| 1386603710 | NPI | - | NPPES |
| 174NH | Other | NC | NC BLUE CROSS BLUE SHIELD |
| 5921210 | Medicaid | NC | |
| 036114856 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036114856 (Illinois) | Secondary |
| 208000000X | Pediatrics | 2012-01298 (North Carolina) | Primary |
| Entity Name | Piedmont Access To Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649240698 PECOS PAC ID: 3476512427 Enrollment ID: O20050304000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Chamundambika Shanmugam, MD Po Box 488, Eden, NC 27289-0488 Ph: (336) 635-6809 | Chamundambika Shanmugam, MD 520 S Van Buren Rd, Suite 2, Eden, NC 27288-5042 Ph: (336) 635-6809 |
Dr. Zainab S Qayumi, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 509 S Van Buren Rd, Suite B, Eden, NC 27288 Phone: 336-627-5437 Fax: 336-627-1681 | |
Dr. Anne B King, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 520 S Van Buren Rd, Suite 2, Eden, NC 27288 Phone: 336-627-5437 Fax: 336-627-1681 | |
Mark C Bucy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 520 S Van Buren Rd, Suite 2, Eden, NC 27288 Phone: 336-627-5437 Fax: 336-627-1681 | |
Dr. Vivian Eliza B Salvador, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 520 S Van Buren Rd, Suite 2, Eden, NC 27288 Phone: 336-627-5437 Fax: 336-627-1681 | |
Rozita Akhbari, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 509 S Van Buren Rd Ste B, Eden, NC 27288 Phone: 336-627-5437 Fax: 336-637-1681 | |
Inger M. Law, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 520 S. Van Buren Rd., Suite-2, Eden, NC 27288 Phone: 336-627-5437 Fax: 336-627-1681 |