Raju, Mudunuri V

Raju, Mudunuri V is an individual health care provider with primary practice located at 200 Fleetwood Dr , Easley SC 29640. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Raju, Mudunuri V can be contacted via phone (864) 442-7200.

Contact Information

Primary practice address
200 Fleetwood Dr Easley SC 29640
Phone: (864) 442-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 20898 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20898 South Carolina

Profile Details

NPI number 1124095484
LBN Legal business name Raju, Mudunuri V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Oct 19th, 2018 - about 6 years 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 1124095484 NPPES
South Carolina Other 1316155112 GROUP NPI
South Carolina MEDICAID T48874 GROUP NPI
South Carolina Other 110200011 GROUP NPI
South Carolina Other 1124095484 GROUP NPI
South Carolina Other P00437301 GROUP NPI
South Carolina MEDICAID GP4690 GROUP NPI
South Carolina Other P00209467 GROUP NPI

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