| Mounika Guduru, MD | |
|
78 Medical Center Dr, Fishersville, VA 22939-2332 | |
| (540) 332-4400 | |
| (540) 332-4490 |
| Full Name | Mounika Guduru |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 9 Years |
| Location | 78 Medical Center Dr, Fishersville, Virginia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568983484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 8184 (Nebraska) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 0101280886 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Augusta Health | Fishersville, VA | Hospital |
| University Of Virginia Medical Center | Charlottesville, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Augusta Health Care Inc | 1355248212 | 59 |
| Augusta Medical Group | 3678632544 | 363 |
| Entity Name | Augusta Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245489590 PECOS PAC ID: 3678632544 Enrollment ID: O20081106000590 |
| Entity Name | Augusta Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720717044 PECOS PAC ID: 1355248212 Enrollment ID: O20221229000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Mounika Guduru, MD Po Box 388, Fishersville, VA 22939-0388 Ph: () - | Mounika Guduru, MD 78 Medical Center Dr, Fishersville, VA 22939-2332 Ph: (540) 332-4400 |
Mr. Sean N Higginson, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-932-4075 Fax: 540-932-5199 | |
Dr. Todd A Goodnight, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-332-4400 Fax: 540-332-4490 | |
Dr. Robert Kyler, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-245-7000 Fax: 540-245-7202 | |
Tyler A Dailey, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-932-4400 Fax: 540-932-4490 | |
Bradley M Tipler, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-332-4400 Fax: 540-332-4490 | |
Christina T. Miller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-332-4400 Fax: 540-332-4490 |