| Haritha Reddy Mopuru, MD | |
| 820 4th St N, Fargo, ND 58102-4539 | |
| (701) 234-6161 | |
| Not Available | 
| Full Name | Haritha Reddy Mopuru | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine - Hematology & Oncology | 
| Location | 820 4th St N, Fargo, North Dakota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043770282 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 18558 (North Dakota) | Secondary | 
| 207RH0003X | Internal Medicine - Hematology & Oncology | 18558 (North Dakota) | Primary | 
| Entity Name | Sanford Medical Center Fargo | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Haritha Reddy Mopuru, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Haritha Reddy Mopuru, MD 820 4th St N, Fargo, ND 58102-4539 Ph: (701) 234-6161 | 
| Abdallah M Mansour, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900 | |
| Gerald G Gross, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161 | |
| Paul James Carson, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979 | |
| Howard L Russell, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 820 N 4th St, Fargo, ND 58122 Phone: 701-234-6161 Fax: 701-234-3861 | |
| Stephen John Lee, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2101 Elm Street N, Fargo, ND 58102 Phone: 701-239-3700 | |
| Dr. Emuejevoke Joseph Okoh, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
| Dr. Krishna Chaitanya Talluri, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2731 |