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
Health care specialties
| Specialty | Code | License # | 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 8 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 | 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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