DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MAHATHI MUDIGONDA DO

MEDICARE: MAHATHI MUDIGONDA DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RS0012XSleep Medicine (Internal Medicine) PhysicianOS025857PA

General Provider Information

NPI Number : 1548992357
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAHATHI MUDIGONDA DO
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-703-7351
Fax Number : 570-703-7801
Provider Business Practice Location Address
First Line : 1800 MULBERRY ST
Second Line :
City : SCRANTON
State : PA
Zip : 18510-2369
Country : US
Telephone Number : 570-703-7351
Fax Number : 570-703-7801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2022
Last Update Date : 06/30/2026

Similar Medicare Providers

1427579515 — DANIEL KOTOK
Practice Location Address:
1800 MULBERRY ST
SCRANTON, PA
18510-2369
Practice Phone: 570-703-8231
Practice Fax: 570-703-8250
1942991575 — JUDE ANTHONY POLIT MORAN MD
Practice Location Address:
1800 MULBERRY ST
SCRANTON, PA
18510-2369
Practice Phone: 570-703-7400
Practice Fax: 570-703-7498
1619811676 — DR. SAGHAR HELEN AKHONDI DPM
Practice Location Address:
1800 MULBERRY ST
SCRANTON, PA
18510-2369
Practice Phone: 570-703-8000
Practice Fax:
1699604496 — GINA MARIA BIANCARELLI
Practice Location Address:
1800 MULBERRY ST
SCRANTON, PA
18510-2369
Practice Phone: 570-815-1111
Practice Fax:
1790312361 — JIA JIAN LI MD
Practice Location Address:
1800 MULBERRY ST
SCRANTON, PA
18510-2369
Practice Phone: 570-703-7400
Practice Fax: 570-703-7498
1790365252 — SUKRUT PAGAD MD
Practice Location Address:
1800 MULBERRY ST
SCRANTON, PA
18510-2369
Practice Phone: 570-703-8231
Practice Fax: 570-703-8250

Directions to “ MAHATHI MUDIGONDA DO” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.