| Sudha Lagudu, MD | |
| 1360 Caduceus Way Ste 104, Watkinsville, GA 30677-7300 | |
| (706) 850-8135 | |
| Not Available | 
| Full Name | Sudha Lagudu | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine - Nephrology | 
| Location | 1360 Caduceus Way Ste 104, Watkinsville, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720583156 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 95598 (Georgia) | Primary | 
| Entity Name | Georgia Kidney Consultants Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477865467 PECOS PAC ID: 4284820705 Enrollment ID: O20101123000929 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sudha Lagudu, MD 1360 Caduceus Way Ste 104, Watkinsville, GA 30677-7300 Ph: (706) 850-8135 | Sudha Lagudu, MD 1360 Caduceus Way Ste 104, Watkinsville, GA 30677-7300 Ph: (706) 850-8135 | 
| Dr. Akhila Madala, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1305 Jennings Mill Rd Ste 220, Watkinsville, GA 30677 Phone: 706-552-1800 Fax: 706-552-1801 | |
| Julio Ernesto Pena, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1360 Caduceus Way, Bldg 400, Suite 104, Watkinsville, GA 30677 Phone: 706-850-8135 Fax: 706-548-9101 | |
| Dr. Fareha Rahim, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1305 Jennings Mill Rd Ste 220, Watkinsville, GA 30677 Phone: 706-552-1800 | |
| Halee Wright Griffith, NP Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1360 Caduceus Way, Watkinsville, GA 30677 Phone: 706-850-8135 | |
| Mrs. Leah Marie Jobson, PA-C Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1624 Mars Hill Rd Ste B, Watkinsville, GA 30677 Phone: 706-310-1030 | |
| Dr. Ken H. Park, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1624 Mars Hill Rd Ste B, Watkinsville, GA 30677 Phone: 706-310-1030 | |
| Dr. Alvin Fred Young, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1305 Jennings Mill Rd Ste 220, Watkinsville, GA 30677 Phone: 706-552-1800 |