Search › Arizona › 207ND0101X
Tejaswi Mudigonda, M.D
NPI 1891143277 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1801 Mesquite Ave
Lake Havasu City, AZ 86403 - Phone
- (928) 854-5400
- Fax
- (928) 216-4165
- Organisation at this address
- Frederic Luo, Md, Msee, Inc
Smith Tryon Family Health Inc D.B.A. Blue Water MedicalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 10101 Ramsey Way, Dickson, TN
- 147 Uptown Sq, Murfreesboro, TN
- 1900 Patterson St Ste 201, Nashville, TN
- 1630 Nashville Pike Ste 200, Gallatin, TN
- 1424 W Baddour Pkwy Ste G, Lebanon, TN
- 491 Sage Rd N Ste 300, White House, TN
Registry record
- Primary taxonomy
- 207ND0101X
207ND0101X
- Also registered as
- 207N00000X
207ND0900X
207NS0135X
207ND0101X - Licence states on file
- TN, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona