Individual
DR. MURTHY VENKATA MADDURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 N ELM ST, HIGH POINT, NC 27262-4331
(336) 716-2255
Mailing address
PO BOX 601643, CHARLOTTE, NC 28260-1643
(704) 355-0720
(704) 355-5948
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2008-02079
NC
208M00000X
Hospitalist Physician
2008-02079
NC
208M00000X
Hospitalist Physician
2008-152631
NC
208M00000X
Hospitalist Physician
4301058013
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750498515
NPI
NC
05
—
1750498515
—
NC
05
—
4233913
—
MI
05
—
5911484
—
NC
01
—
700F110460
BCBS GROUP NO. MERCY
—
01
—
N27530042
MEDICARE NO. MERCY
—
05
—
NC1754
—
SC
01
—
ON27530
MEDICARE GROUP NO. MERCY
—
Enumeration date
08/25/2006
Last updated
09/22/2023
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