DR. MADHUSUDHAN MUDIAM (NPI# 1497868319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497868319 |
| Entity Type | Individual |
| Full Name | DR. MADHUSUDHAN MUDIAM |
| Credential | M.D |
| Practice Address |
3400 Lebanon Rd Alvin C York Vamc, Psychiatry Service Murfreesboro TN 37129-1237 |
| Practice Telephone | 6158931360 |
| Mailing Telephone | 6158676000 |
| Mailing Fax Number | 6152255381 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2019-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
MD29622 | TN | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD29622 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
3400 LEBANON RD ALVIN C YORK VAMC, PSYCHIATRY SERVICE |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37129-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770587677 | Vandana P Chowbey | Internal Medicine | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2005-06-08 |
| 1013518307 | Sheila Rosenfeld | Nurse Practitioner | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2020-11-04 |
| 1770193617 | Erin Merkel | Dietitian, Registered | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2020-08-05 |
| 1679105100 | Scott Allan Vink | Social Worker | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2020-02-12 |
| 1942847710 | Summer Crouch | Dietitian, Registered | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2019-11-29 |
| 1124677281 | Nikkina Hankins, Rph, Pharmd | Pharmacist | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2019-09-10 |
| 1467000158 | Brennan Barlow | Kinesiotherapist | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2019-08-27 |
| 1760043533 | Dawn Michelle Brady | Social Worker | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2019-06-24 |
| 1871159806 | Keia L Suttle | Social Worker | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2019-05-15 |
| 1871158360 | Gwendolyn R Mcchristian | Physical Therapy Assistant | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2019-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183188 | Results-ast Jv, LLC | Physical Therapist | 1203-b Memorial Blvd, Murfreesboro, TN 37129 | 2020-10-27 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1255898185 | Sonja Vanetta Brown Deloatch | Social Worker | 6400 Lebanon Rd, Murfreesboro, TN 37129 | 2019-02-27 |
| 1821560137 | Zachary Ditmarsen | Chiropractor | 803 N Thompson Ln, Suite 103a, Murfreesboro, TN 37129 | 2018-12-27 |
| 1154841575 | Julia Goddeeris | Audiologist | 804 N Thompson Ln, Murfreesboro, TN 37129 | 2017-06-27 |
| 1548713100 | National Vision, Inc. | Technician/Technologist | 1993 Old Fort Pkwy, Murfreesboro, TN 37129 | 2016-08-01 |
| 1437504891 | Journeypure At The River LLC | Substance Abuse Rehabilitation Facility | 5080 Florence Rd, Murfreesboro, TN 37129 | 2016-05-04 |
| 1750763900 | Vilayvanh Saysoukha | Podiatrist | 1155 Kennedy Dr Ste 101, Murfreesboro, TN 37129 | 2015-06-24 |
| Find all providers in zip 37129 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447883582 | Scout Holdings, LLC | Psychiatry & Neurology | 1535 W Northfield Blvd Ste 3b, Murfreesboro, TN 37129-1474 | 2020-02-18 |
| 1386024792 | Kimberly Stubbs | Psychiatry & Neurology | 2940 Lone Oak Dr, Murfreesboro, TN 37128-6818 | 2015-06-02 |
| 1235578717 | Andrew Pierce | Psychiatry & Neurology | 1639 Medical Center Pkwy Ste 202, Murfreesboro, TN 37129-2573 | 2013-06-18 |
| 1902149206 | Arvind Harold Vaz | Psychiatry & Neurology | Trustpoint Hospital, 1009 N Thompson Ln, Murfreesboro, TN 37129 | 2013-04-04 |
| 1669786000 | Andrei Aragon Avenido | Psychiatry & Neurology | 1009 N Thompson Ln, Murfreesboro, TN 37129-4351 | 2010-07-27 |
| 1285840975 | Patricia W. Williams | Psychiatry & Neurology | 329 Keathley University Ctr, Murfreesboro, TN 37132-0001 | 2007-05-16 |
| 1649320953 | Pranahitha Cherukupalli Reddy | Psychiatry & Neurology | 1417 Markallenlane, Murfreesboro, TN 37130 | 2007-01-11 |
| 1922116649 | Ravi Prakash Singh | Psychiatry & Neurology | 1830 Heritage Park Plz, Murfreesboro, TN 37129-1575 | 2006-08-25 |
| 1619903895 | Stones River Psychiatric Group PC | Psychiatry & Neurology | 1024 N Highland Ave, Suite B, Murfreesboro, TN 37130-2443 | 2006-06-23 |
| 1740638238 | James Adam Mauro | Psychiatry & Neurology | 3400 Lebanon Rd Bldg 9, Murfreesboro, TN 37129-1393 | 2016-05-25 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37129 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.