Individual
ASHOK KUMAR MUDUNDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 MOCKSVILLE AVE, SALISBURY, NC 28144-2705
(704) 633-7220
(605) 322-4910
Mailing address
611 MOCKSVILLE AVE, SALISBURY, NC 28144-2705
(704) 633-7220
(605) 322-4910
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
MO 2005018599
MO
207R00000X
Internal Medicine Physician
2014-00238
NC
207R00000X
Internal Medicine Physician
R8434
TX
208M00000X
Hospitalist Physician
Primary
6044
SD
208M00000X
Hospitalist Physician
R8434
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S102597
MEDICARE
SD
Enumeration date
07/07/2005
Last updated
07/27/2023
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