Individual
DR. MOHAN PAPUDESU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
603 E LAMAR ST, AMERICUS, GA 31709-3737
(229) 928-3444
(229) 928-3446
Mailing address
603 E LAMAR ST, AMERICUS, GA 31709-3737
(229) 928-3444
(229) 928-3446
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
029063
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000968976A
—
GA
01
—
022135
BLUE CROSS BLUE SHIELD
GA
Enumeration date
12/07/2005
Last updated
06/11/2019
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