National Provider Identifier
Vidyasagar Mokureddy, M.D.
Vidyasagar Mokureddy, M.D. is listed in the NPPES registry with a primary specialty of Pain Medicine (Physical Medicine & Rehabilitation) Physician in Horseheads, NY and a listed phone number of (607) 795-2828.
Profile Overview
- NPI
- 1437224557
- Provider Type
- Individual
- Primary Specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Enumeration Date
- November 22, 2006
- Last Updated
- June 16, 2016
Practice Location
- 100 John Roemmelt Dr
- Horseheads, NY 14845-8301
Phone: (607) 795-2828
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Pain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X)
Full Record
- NPI
- 1437224557
- Entity Type
- Individual
- Last Name
- Mokureddy
- First Name
- Vidyasagar
- Credential
- M.D.
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Practice Street Address
- 100 John Roemmelt Dr
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-8301
- Practice Country
- US
- Practice Phone
- (607) 795-2828
- Practice Fax
- (607) 795-2829
- Enumeration Date
- November 22, 2006
- Last Updated
- June 16, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X)
- Other Identifiers
- 0019347550001 (PA), 02355668 (NY)