| Rama K Muddaraj, MD | |
|
13555 W. Mcdowell Rd., Suite 204, Goodyear, AZ 85395-2626 | |
| (623) 247-0300 | |
| (623) 247-9268 |
| Full Name | Rama K Muddaraj |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 13555 W. Mcdowell Rd., Goodyear, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386682227 | NPI | - | NPPES |
| 226060 | Medicaid | AZ | |
| 226060 | Other | AZ | AHCCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 13089 (Arizona) | Primary |
| Entity Name | Southwest Valley Surgical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528413929 PECOS PAC ID: 5193014678 Enrollment ID: O20160523002720 |
| Mailing Address | Practice Location Address |
|---|---|
| Rama K Muddaraj, MD 13555 W. Mcdowell Rd., Suite 204, Goodyear, AZ 85395-2626 Ph: (623) 247-0300 | Rama K Muddaraj, MD 13555 W. Mcdowell Rd., Suite 204, Goodyear, AZ 85395-2626 Ph: (623) 247-0300 |
Dr. Michael R. Rollins, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 13555 W. Mcdowell Rd, Suite 204, Goodyear, AZ 85395 Phone: 623-247-0300 Fax: 623-247-9268 | |
Mary Teresa Gibson, ACNPC-AG Surgery Medicare: Not Enrolled in Medicare Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-853-3832 | |
Robert Allan Wascher, MD Surgery Medicare: Medicare Enrolled Practice Location: 14200 W Celebrate Life Way, Goodyear, AZ 85338 Phone: 623-207-3217 Fax: 623-207-3379 | |
Dr. Conrad Franklin Diven, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 13677 W Mcdowell Rd, Suite 201, Goodyear, AZ 85395 Phone: 623-536-4200 Fax: 623-882-4201 | |
Donald Joseph Green, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 13677 W Mcdowell Rd Ste 201, Goodyear, AZ 85395 Phone: 602-996-4747 Fax: 602-953-5466 | |
Dr. Cynthia Lynne Collins, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 13555 W Mcdowell Rd, Ste 204, Goodyear, AZ 85338 Phone: 623-247-0300 Fax: 623-247-9268 |