Mudduluru, Madhusudhana R

Mudduluru, Madhusudhana R is an individual health care provider with primary practice located at 2801 Franciscan Dr , Bryan TX 77802-2544. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Mudduluru, Madhusudhana R can be contacted via phone (979) 776-5967.

Contact Information

Primary practice address
2801 Franciscan Dr Bryan TX 77802-2544
Phone: (979) 776-5967
Fax: (979) 731-5916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2012-01567 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 57.015930 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X P7316 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2012-01567 North Carolina

Profile Details

NPI number 1346472230
LBN Legal business name Mudduluru, Madhusudhana R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2009
Last updated Mar 20th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346472230 NPPES
Texas MEDICAID 1346472230
Texas MEDICAID NC2666
Texas MEDICAID 1346472230
Texas Other 2012-01567

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