| Radharani S Gollamudi, MD | |
|
1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | |
| (386) 238-9064 | |
| (386) 238-9064 |
| Full Name | Radharani S Gollamudi |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 25 Years |
| Location | 1630 Mason Ave Ste C, Daytona Beach, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245287713 | NPI | - | NPPES |
| FB967Y | Other | FL | MEDICARE |
| 201173130 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01072789A (Indiana) | Primary |
| 207R00000X | Internal Medicine | ME109538 (Florida) | Secondary |
| 207R00000X | Internal Medicine | 238672 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| Halifax Health Hospice | Port orange, FL | Hospice |
| Florida Hospital Hospicecare | Ormond beach, FL | Hospice |
| Kindred Hospice | Miami, FL | Hospice |
| Adventhealth Fish Memorial | Orange city, FL | Hospital |
| Adventhealth Deland | Deland, FL | Hospital |
| Ridgecrest Nursing And Rehabilitation Center | Deland, FL | Nursing home |
| Orange City Nursing And Rehab Center | Debary, FL | Nursing home |
| Debary Health And Rehabilitation Center | Debary, FL | Nursing home |
| Parkside Health And Rehabilitation Center | Deland, FL | Nursing home |
| Villa Health & Rehabilitation Center | Deland, FL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Excellence Health Llc | 0840534160 | 51 |
| Entity Name | Inpatient Consultants Of Florida, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
| Entity Name | Excellence Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447741749 PECOS PAC ID: 0840534160 Enrollment ID: O20181127002760 |
| Entity Name | Excellence Health Medical Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902502875 PECOS PAC ID: 7113457250 Enrollment ID: O20250205001029 |
| Mailing Address | Practice Location Address |
|---|---|
| Radharani S Gollamudi, MD 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 Ph: (386) 238-9064 | Radharani S Gollamudi, MD 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 Ph: (386) 238-9064 |
Dr. Richard Carl Weiss, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Halifax Regional Oncology Center, Daytona Beach, FL 32114 Phone: 386-254-4212 Fax: 386-254-4214 | |
Dhrumil Vijaykumar Patel, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-1091 Fax: 386-231-1092 | |
Poemlarp Mekraksakit, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 507, Daytona Beach, FL 32117 Phone: 386-672-8595 Fax: 386-677-4987 | |
Dr. Beshoy Nazmi Nazeer, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 695 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-258-8722 Fax: 386-258-8659 | |
Alexandra Crossman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-589-5741 | |
Dr. Vinicius Costa Diniz Domingues, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 709 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-252-1632 Fax: 386-257-5526 | |
Dr. Mahmoud S Khalifa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-1091 Fax: 386-231-1092 |