Individual
DR. TEJASWI VENKATA MUDIGONDA
Active
Individual
DR. TEJASWI VENKATA MUDIGONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
68967
TN
207ND0101X
MOHS-Micrographic Surgery Physician
68967
TN
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
73704
AZ
207ND0900X
Dermatopathology Physician
68967
TN
207NS0135X
Procedural Dermatology Physician
68967
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207R00000X
—
OK
Enumeration date
05/26/2016
Last updated
03/19/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up