| Phani Mohan Vupadhyayula, | |
|
612 Mocksville Ave, Salisbury, NC 28144-2732 | |
| (704) 210-5260 | |
| (704) 210-5265 |
| Full Name | Phani Mohan Vupadhyayula |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 23 Years |
| Location | 612 Mocksville Ave, Salisbury, North 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 |
|---|---|---|---|
| 1659523991 | NPI | - | NPPES |
| NC1962 | Medicaid | SC | |
| 40598 | Other | SC | SC MEDICAL LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Catawba Regional Hospice | Newton, NC | Hospice |
| Caromont Regional Medical Center | Gastonia, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valeant Medical Group Pllc | 3274905310 | 2 |
| Caromont Medical Group Inc | 3577476258 | 387 |
| Valeant Medical Group Pllc | 3274905310 | 2 |
| Entity Name | Caromont Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070 |
| Entity Name | Valeant Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942917380 PECOS PAC ID: 3274905310 Enrollment ID: O20240703000723 |
| Mailing Address | Practice Location Address |
|---|---|
| Phani Mohan Vupadhyayula, Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Phani Mohan Vupadhyayula, 612 Mocksville Ave, Salisbury, NC 28144-2732 Ph: (704) 210-5260 |
Dr. Holly Ann Stevens, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 911 W Henderson St Ste 300, Salisbury, NC 28144 Phone: 704-636-9270 Fax: 704-210-0302 | |
Dr. Martha Anne Sommer, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-9000 | |
Diana Leticia Petric, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5260 Fax: 704-210-5265 | |
Matthew Philip Harrison, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-633-7220 Fax: 704-647-0515 | |
Michael Wilson Chambers, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5260 Fax: 704-210-5265 |