| Dr Mudunuri V Raju, MD | |
|
200 Fleetwood Dr, Easley, SC 29640 | |
| (864) 442-7200 | |
| Not Available |
| Full Name | Dr Mudunuri V Raju |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 37 Years |
| Location | 200 Fleetwood Dr, Easley, 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 |
|---|---|---|---|
| 1124095484 | NPI | - | NPPES |
| 1316155112 | Other | SC | GROUP NPI |
| T48874 | Medicaid | SC | |
| 110200011 | Other | SC | RAILROAD MEDICARE |
| 1124095484 | Other | SC | NPI |
| P00437301 | Other | SC | RAILROAD MEDICARE |
| GP4690 | Medicaid | SC | |
| P00209467 | Other | SC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 20898 (South Carolina) | Secondary |
| 207R00000X | Internal Medicine | 20898 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ghs Laurens County Memorial Hospital | Clinton, SC | Hospital |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health University Medical Group | 8325950983 | 2220 |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686 |
| Entity Name | Apogee Medical Group South Carolina |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619028545 PECOS PAC ID: 8921193020 Enrollment ID: O20071004000474 |
| Entity Name | Pelham Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619133568 PECOS PAC ID: 2365519097 Enrollment ID: O20080923000329 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mudunuri V Raju, MD 1 Independence Pt Ste 212, Greenville, SC 29615-4536 Ph: (864) 797-6174 | Dr Mudunuri V Raju, MD 200 Fleetwood Dr, Easley, SC 29640 Ph: (864) 442-7200 |
Geanice Holton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1648 Gentry Memorial Hwy, Easley, SC 29640 Phone: 864-855-1331 Fax: 864-855-1602 | |
Lauren D Roberts, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 Fax: 864-442-8279 | |
Dr. Andrea Shavonne James, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 Fax: 864-422-8279 | |
Imranullah Shaikh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 Fax: 864-442-8279 | |
Dr. Ka Kin Fung, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-442-7200 | |
Dr. Aftab A Awan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 129 Fleetwood Dr, Easley, SC 29640 Phone: 864-855-4255 Fax: 864-855-4439 | |
Steve Woo Chul Han, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-420-7200 |