Seetharamprasad Madala
VIDANT MEDICAL GROUP LLC


Address: 500 Academy St S, Vidant Roanoke Chowan Hospitalists, Ahoskie, NC 27910-3248
Phone: 2522093708

Seetharamprasad Madala (NPI# 1003299223, PAC ID# 3678866290) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1003299223
PAC ID by PECOS 3678866290
Professional Enrollment ID I20181017002188
Full Name Seetharamprasad Madala
Organization Legal Name VIDANT MEDICAL GROUP LLC
Address 500 Academy St S
Vidant Roanoke Chowan Hospitalists
Ahoskie
NC 27910-3248
Phone Number 2522093708
Gender M
Graduation Year 2012
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 0345343893
Number of Group Practice Members 650
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
340099 VIDANT ROANOKE CHOWAN HOSPITAL
340040 VIDANT MEDICAL CENTER
341318 VIDANT CHOWAN HOSPITAL

Other Locations

Address Phone Organization
500 Academy St S, Vidant Roanoke Chowan Hospitalists, Ahoskie, NC 27910-3248 2522093708 VIDANT MEDICAL GROUP LLC
401 N Main St, Kenansville, NC 28349-8801 9102962815 VIDANT MEDICAL GROUP LLC
417 N Main St B, Kenansville, NC 28349-8801 9102750027 VIDANT MEDICAL GROUP LLC

Organization Information

Organization Legal Name VIDANT MEDICAL GROUP LLC
Physicians 658

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Charnissa Nicole Batts Nurse Practitioner Vidant Medical Group LLC 1308 Highland Dr, Washington, NC 27889-3424
Lashaunda Brown Clinical Social Worker Vidant Medical Group LLC 210 W Liberty St, Williamston, NC 27892-1712
Deebah A Uddin Internal Medicine Vidant Medical Group LLC 111 Hospital Dr, Tarboro, NC 27886-2011
Madeline Winslow Nurse Practitioner Vidant Medical Group LLC 1124 Harvey Point Rd, Hertford, NC 27944-9767
Deepti Ananthula Internal Medicine Vidant Medical Group LLC 1380 Cowell Farm Rd, Washington, NC 27889-3431
John P Mcgee Family Medicine Vidant Medical Group LLC 2450 Emerald Pl, Vidant Family Medicine Greenville, Greenville, NC 27834-5784
Judith Tate Smithwick Nurse Practitioner Vidant Medical Group LLC 1210 N Brown St, Vidant Womens Care Washington, Washington, NC 27889-4671
David A Konzem Physician Assistant Vidant Medical Group LLC 417 N Main St B, Kenansville, NC 28349-8801
Kaitlyn Carnwath Nurse Practitioner Vidant Medical Group LLC 850 Wh Smith Blvd, Vidant Cardiology Greenville, Greenville, NC 27834-3763

Office Location

Street Address 500 ACADEMY ST S
VIDANT ROANOKE CHOWAN HOSPITALISTS
City AHOSKIE
State NC
Zip 27910-3248

Physicians in the same location

Name Specialty Organization Address
Hershell E Cassell Jr. Emergency Medicine Vidant Medical Group LLC 500 Academy St S, Vidant Roanoke Chowan Hospitalists, Ahoskie, NC 27910-3248
Chrystie L Stowe Nurse Practitioner Vidant Medical Group LLC 500 Academy St S, Vidant Roanoke Chowan Hospitalists, Ahoskie, NC 27910-3248
Michael Thomas Hopkins Hematology/oncology Vidant Medical Group LLC 500 Academy St S, Vidant Roanoke Chowan Hospitalists, Ahoskie, NC 27910-3248
Shamusideen O Ogbulu Internal Medicine Vidant Medical Group LLC 500 Academy St S, Vidant Roanoke Chowan Hospitalists, Ahoskie, NC 27910-3248
Robert G Cooke Iii Obstetrics/gynecology Vidant Medical Group LLC 500 Academy St S, Vidant Roanoke Chowan Hospitalists, Ahoskie, NC 27910-3248
Martin T Deal Hospitalist Vidant Medical Group LLC 500 Academy St S, Vidant Roanoke Chowan Hospitalists, Ahoskie, NC 27910-3248
Geary D Smith Emergency Medicine Vidant Medical Group LLC 500 Academy St S, Vidant Roanoke Chowan Hospitalists, Ahoskie, NC 27910-3248
Joseph William Quinn Internal Medicine Vidant Medical Group LLC 500 Academy St S, Vidant Roanoke Chowan Hospitalists, Ahoskie, NC 27910-3248
Sunil Upadhaya Internal Medicine Vidant Medical Group LLC 500 Academy St S, Vidant Roanoke Chowan Hospitalists, Ahoskie, NC 27910-3248
Chang O Son Medical Oncology Vidant Medical Group LLC 500 Academy St S, Vidant Roanoke Chowan Hospitalists, Ahoskie, NC 27910-3248
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Physicians in the same zip code

Name Specialty Organization Address
Mahvish Muzaffar Hematology Vidant Medical Group LLC 226 Academy St S, Ahoskie, NC 27910-2451
Joseph E Tripp Emergency Medicine Vidant Medical Group LLC 222 Academy St S, Ahoskie, NC 27910-2451
Eileen Davies Nurse Practitioner Vidant Medical Group LLC 226 Academy St S, Ahoskie, NC 27910-2451
Kelly Mclean Physician Assistant Vidant Medical Group LLC 226 Academy St S, Ahoskie, NC 27910-2451
Percy E Braswell Physician Assistant Vidant Medical Group LLC 226 Academy St S, Ahoskie, NC 27910-2451
Roxanne Banks O'kelley Clinical Social Worker Integrated Family Services LLC 312 Academy S St B, Ahoskie, NC 27910-3200
Keith Poche Clinical Social Worker Integrated Family Services LLC 312 Academy S St B, Ahoskie, NC 27910-3200
Shanna Leigh May Clinical Social Worker Integrated Family Services LLC 312 Academy S St B, Ahoskie, NC 27910-3200
Lauren Chandler Nobles Clinical Social Worker Integrated Family Services LLC 312 Academy S St B, Ahoskie, NC 27910-3200
Stephanye A Kenyear Nurse Practitioner Integrated Family Services LLC 312 Academy S St B, Ahoskie, NC 27910-3200
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Competitor

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City AHOSKIE
Zip Code 27910
Specialty INTERNAL MEDICINE
City + Specialty AHOSKIE + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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