Radhika Mudiyala (NPI# 1336195254, PAC ID# 4880685916) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GERIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1336195254 |
| PAC ID by PECOS | 4880685916 |
| Professional Enrollment ID | I20040519000313 |
| Full Name | Radhika Mudiyala |
| Address |
3606 Highlands Sepkwy Suite 1 Smyrna GA 30082-5184 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1993 |
| Primary Specialty | GERIATRIC MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110143 | WELLSTAR COBB HOSPITAL |
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3606 Highlands Sepkwy, Suite 1, Smyrna, GA 30082-5184 |
| Street Address |
3606 HIGHLANDS SEPKWY SUITE 1 |
| City | SMYRNA |
| State | GA |
| Zip | 30082-5184 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Srinadh R Palacharla | Nephrology | 3606 Highlands Sepkwy, Suite 1, Smyrna, GA 30082-5184 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Azeen Hadadi | Optometry | Smyrna Eye Group, P.C. | 4280 E W Connector Se, Smyrna, GA 30082 |
| Steven D Bowser | Optometry | Smyrna Eye Group, P.C. | 4280 E W Connector Se, Smyrna, GA 30082 |
| James S Harper | Optometry | Smyrna Eye Group, P.C. | 4280 E W Connector Se, Smyrna, GA 30082 |
| Devin R Wieseckel | Optometry | Smyrna Eye Group, P.C. | 4280 E W Connector Se, Smyrna, GA 30082 |
| Caitlin Marie Byrne | Optometry | Smyrna Eye Group, P.C. | 4280 E W Connector Se, Smyrna, GA 30082 |
| Barbara E Koloze | Optometry | Smyrna Eye Group, P.C. | 4280 E W Connector Se, Smyrna, GA 30082 |
| Melvin R Weiss | Optometry | Smyrna Eye Group, P.C. | 4280 E W Connector Se, Smyrna, GA 30082 |
| Rajiv Manhar Tejura | Family Medicine | Wellstar Medical Group, LLC | 562 Concord Serd, Smyrna, GA 30082-2608 |
| Georgia Forrest | Family Medicine | Wellstar Medical Group, LLC | 562 Concord Serd, Smyrna, GA 30082-2608 |
| Rose C Urrutia | Family Medicine | Wellstar Medical Group, LLC | 562 Concord Serd, Smyrna, GA 30082-2608 |
| Find all physicians in zip 30082 | |||
| City | SMYRNA |
| Zip Code | 30082 |
| Specialty | GERIATRIC MEDICINE |
| City + Specialty | SMYRNA + GERIATRIC MEDICINE |
Please comment or provide details below to improve the information on Radhika Mudiyala.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.