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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346472230 | NPPES |
| Texas | MEDICAID | 1346472230 | |
| Texas | MEDICAID | NC2666 | |
| Texas | MEDICAID | 1346472230 | |
| Texas | Other | 2012-01567 |
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