Individual
SUDHEER REDDY MUDUGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54257
WI
207R00000X
Internal Medicine Physician
A140945
CA
207RN0300X
Nephrology Physician
Primary
54257
WI
207RN0300X
Nephrology Physician
A140945
CA
208M00000X
Hospitalist Physician
A140945
CA
Other
Enumeration date
05/06/2008
Last updated
07/08/2019
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