| Mounika Guduru, MD | |
| 
					78 Medical Center Dr, Fishersville, VA 22939-2332  | |
| (540) 332-4400 | |
| (540) 332-4490 | 
| Full Name | Mounika Guduru | 
|---|---|
| Gender | Female | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 78 Medical Center Dr, Fishersville, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| 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 | 
| 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: Accepting 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: Accepting 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: Accepting 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: Accepting 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  |